JOEL BRANDON PETERSON D.D.S. NPI 1801989975

NPI Information

  • NPI: 1801989975
  • Provider Name: JOEL BRANDON PETERSON, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 3466 HOLIDAY CT
    BETTENDORF, IA
    ZIP 52722
  • Phone: (563) 332-1321

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NPI Details

Joel Brandon Peterson, D.D.S. is a pediatric dentistry dentist in Bettendorf, IA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Joel Brandon Peterson, D.D.S. NPI is 1801989975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3466 HOLIDAY CT
BETTENDORF, IA
ZIP 52722-496
Phone: (563) 332-1321
Fax: (563) 332-3905

The enumeration date for this NPI number is 10/2/2006 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
11223P0221XDentistPediatric Dentistry7272IOWAYes

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
129305OTHERIOWABC/BS PROVIDER #
2399655MEDICAIDIOWA
3637297OTHERIOWAUNITED CONCORDIA PROVIDER

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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