Individual provider · Type 1 NPI
Kelsey Peterson, DMD
General Practice Dentistry · Emmett, ID
NPI number
1396069712
Active
Practice location
1312 South Washington Street
Emmett, ID 83617
Mailing address
1312 S Washington Ave Ste C
Emmett, ID 83617-3596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D-4282-OR (ID) |
| General Practice Dentistry Primary | 1223G0001X | D-4282 (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.
Other general practice dentistry providers in Emmett
- Shon Dewane Rooks, DDSGeneral Practice Dentistry Emmett, ID NPI 1376592337
- Warren Richard Willis, D.M.DGeneral Practice Dentistry Emmett, ID NPI 1568535011
- Darren K. Wallace, DMDGeneral Practice Dentistry Emmett, ID NPI 1841305646
- Andrea L. Wallace, DMDGeneral Practice Dentistry Emmett, ID NPI 1871608604
About NPI 1396069712
Kelsey Peterson, DMD's National Provider Identifier is 1396069712, issued on Mar 15, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Emmett, ID. The record was last updated on Feb 13, 2024.