Individual provider · Type 1 NPI
Justin Thomas Peterson, DDS
General Practice Dentistry · St. Anthony, ID
NPI number
1386955029
Active
Practice location
325 E Main St
St. Anthony, ID 83445-1546
Fax (208) 624-4117
Mailing address
PO Box 18
St. Anthony, ID 83445-0018
Other practice locations
- 72 S 1st E, Rexburg, ID 83440-1902 · (208) 356-4900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D4293 (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.
3 other providers at this address
Other general practice dentistry providers in St. Anthony
- Gabel C. Brizzee, DDSGeneral Practice Dentistry St. Anthony, ID NPI 1043366982
- Ryan Douglas Smith, DMDGeneral Practice Dentistry St. Anthony, ID NPI 1225326747
- John R.f. Toenjes, DDSGeneral Practice Dentistry St. Anthony, ID NPI 1639225576
- Kent A. Beesley, DDSGeneral Practice Dentistry St. Anthony, ID NPI 1679738397
- Gabriel Aaron Lenz, DMDGeneral Practice Dentistry St. Anthony, ID NPI 1700362886
- Neil L. Kunz, DMDGeneral Practice Dentistry St. Anthony, ID NPI 1952457863
About NPI 1386955029
Justin Thomas Peterson, DDS's National Provider Identifier is 1386955029, issued on Jun 28, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Anthony, ID. The record was last updated on May 17, 2022.