Individual provider · Type 1 NPI

Mark L. Peterson, DDS

General Practice Dentistry · Rigby, ID

NPI number 1689782864 Active

Practice location

127 1/2 E Short St
Rigby, ID 83442-1422

Call (208) 745-6536 Map

Fax (208) 745-0006

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD 1758 (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

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About NPI 1689782864

Mark L. Peterson, DDS's National Provider Identifier is 1689782864, issued on Aug 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rigby, ID. The record was last updated on Jul 9, 2007.