Individual provider · Type 1 NPI

Nathan Michael Peterson, DDS

General Practice Dentistry · Twin Falls, ID

NPI number 1114596673 Active

Practice location

2174 Canyon Plaza Dr Ste 100
Twin Falls, ID 83301-4513

Mailing address

3842 Susan Cir E
Hansen, ID 83334-5502

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD-5290 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114596673

Nathan Michael Peterson, DDS's National Provider Identifier is 1114596673, issued on Jun 20, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Twin Falls, ID. The record was last updated on May 4, 2025.