Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972490670 Individual Practitioner Female Practitioner

Autumn Peterson

Dentist • Elmhurst, IL

Professional Overview & Biography Verified Profile Summary

Autumn Peterson is a registered healthcare professional specializing in Dentist in Elmhurst, IL. Practice services are available at 360 N YORK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

360 N York St

Elmhurst, IL 601262376

Telephone 6309419299
Associated Practice Facility / Clinic
🏢 Sandell Dental Care, Ltd. Facility NPI 1871929935

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Elmhurst, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Elmhurst, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.036140

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Donald Sandell , DDS

Dentist - General Practice

NPI 1366551095

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2025

Registered at 360 N YORK ST, ELMHURST, IL 601262376 (Tel: 6309419299)

📍
Updated Business Mailing Address June 23, 2025

Registered at 117 S QUINCY ST, HINSDALE, IL 605213012 (Tel: 7159040080)

👤
Provider Name / Credentials Updated June 23, 2025

Recorded as AUTUMN PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2025

Dentist (License #019.036140 in IL)

🟢
Initial NPI Registration & Enumeration June 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972490670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2025
Last Update: June 23, 2025
Sole Proprietor: No

Mailing Address

117 S Quincy St

Hinsdale, IL 605213012

Phone: 7159040080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.