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Organization

COLLIN B PETERSON DMD DENTISTRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COLLIN PETERSON DMD (DENTIST/OWNER)
(228) 216-7853
Entity
Organization

Contact information

Practice address
10409 BONEY AVE, DIBERVILLE, MS 39540-4813
(228) 216-7853
Mailing address
10409 BONEY AVE, DIBERVILLE, MS 39540-4813
(228) 809-8822
(228) 400-1240

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/07/2025
Last updated
02/12/2026
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