Dr Kyle W Peterson, DDS in Moline, IL - Dentist

Dr Kyle W Peterson, DDS is a Dentist based in Moline, Illinois. Dr Kyle W Peterson is licensed to practice in Iowa (license number 08753) and his current practice location is 609 22nd St, Moline, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 797-2001.

NPI number for Dr Kyle W Peterson is 1285947259 and his current mailing address is 609 22nd St, Moline, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285947259.

Contact Information

	Dr Kyle W Peterson, DDS
	609 22nd St, Moline, IL 61265-1450
	(309) 797-2001
	Not Available

Healthcare Provider's Profile

Full Name	Dr Kyle W Peterson
Gender	Male
Speciality	Dentist
Location	609 22nd St, Moline, Illinois
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1285947259
Provider Enumeration Date: 07/20/2010
Last Update Date: 09/21/2011

Medical Identifiers

Medical identifiers for Dr Kyle W Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285947259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	08753 (Iowa)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle W Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kyle W Peterson, DDS 609 22nd St, Moline, IL 61265-1450 Ph: (309) 797-2001	Dr Kyle W Peterson, DDS 609 22nd St, Moline, IL 61265-1450 Ph: (309) 797-2001

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Dentist in Moline, IL

Dr. Scott R Lopshire, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 609 22nd St, Moline, IL 61265 Phone: 309-797-2001 Fax: 309-764-8236
Karl Kirby Marine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3003 41st St, Moline, IL 61265 Phone: 309-762-8838
John R Williams, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2132 6th Avenue, Moline, IL 61265 Phone: 309-762-3211
Dr. Jamie Dominic Nonnenmann, M.S., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3823 - 15th St. D, Moline, IL 61265 Phone: 309-797-2959
Mark D Bollaert, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3001 41st St, Moline, IL 61265 Phone: 309-764-1173
Dr. Lori Beth Doroba, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 518 19th Ave, Moline, IL 61265 Phone: 309-764-9099
Dr. James E. Bishop, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 36th Ave, Suite B, Moline, IL 61265 Phone: 309-762-5566 Fax: 309-762-7032

Dr Kyle W Peterson, DDS - Dentist in Moline, IL