DR. DOREEN MARIE PETERSON D.D.S. NPI 1447352992

NPI Information

  • NPI: 1447352992
  • Provider Name: DR. DOREEN MARIE PETERSON, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 131 RIDGE RD
    SUITE 2 NORTH
    MUNSTER, IN
    ZIP 46321
  • Phone: (219) 836-8886

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NPI Details

DR. Doreen Marie Peterson, D.D.S. is a general practice dentist in Munster, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Doreen Marie Peterson, D.D.S. NPI is 1447352992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

131 RIDGE RD
SUITE 2 NORTH
MUNSTER, IN
ZIP 46321-566
Phone: (219) 836-8886
Fax: (219) 836-8846

The enumeration date for this NPI number is 9/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12008952INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100424320MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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