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Stephen Benjamin Peterman, D.D.S.

Dentist, Prosthodontics in Brentwood, TN. Individual provider (NPI-1).

NPI number1104131572
StatusActive
Last updated in NPPESFeb 21, 2026

Details

NPI
1104131572
Entity type
Individual (NPI-1)
Name
Stephen Benjamin Peterman
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2010
Certification date
Feb 21, 2026
Last updated
Feb 21, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, Prosthodontics12700TNYes
122300000X Dentist6902NE
122300000X Dentist12700TN

Practice location

1177 Old Hickory Blvd Ste 102
Brentwood, TN 37027-4242

Phone 615-690-5400

Mailing address

1177 Old Hickory Blvd Ste 102
Brentwood, TN 37027-4242

Phone 615-690-5400

Other practice locations

2940 Stanley Rd Ste 2375
Fort Sam Houston, TX 78234-2740

Phone 210-295-4156

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Prosthodontics providers in Brentwood, TN

All 7 Prosthodontics providers in Brentwood · All 3,664 providers in Brentwood

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