Individual provider · Type 1 NPI
Ty Peterson, DMD
General Practice Dentistry · Gooding, ID
NPI number
1689234437
Active
Practice location
325 Main St
Gooding, ID 83330-1302
Fax (208) 934-9756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D-5035 (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.
2 other providers at this address
Other general practice dentistry providers in Gooding
About NPI 1689234437
Ty Peterson, DMD's National Provider Identifier is 1689234437, issued on Jun 14, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gooding, ID. The record was last updated on Jun 14, 2019.