Scott M. Peterson, DDS, MS
Orthodontics · Bloomington, IL
UnclaimedDDS, MSNPI 1134396336
- Primary taxonomy
- 1223X0400X
- Enumerated
- 2008-05-15
- Practice location
- Bloomington, IL
- Last NPPES update
- 2008-05-15
State licenses
- IL · Dentist · LICENSED SPECIALIST IN DENTISTRYActivethrough 2027
- IL · Dentist · LICENSED DENTISTActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.