Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN JAMES PETERSEN, D.D.S.
Active Sole ProprietorDR. BRYAN JAMES PETERSEN, D.D.S. is a Dentist healthcare provider located in GRANGEVILLE, Idaho. NPI 1205994373 is currently active in the NPPES registry. Verify at CMS.
Dentist · GRANGEVILLE, ID
Registration Details
- NPI Number
- 1205994373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.509892134505 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D-3101 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 N A STGRANGEVILLE, ID, 835301211Browse ID providers · Browse ZIP 83530
- Phone
- 2089831651
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in GRANGEVILLE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL D NELSON | D.D.S. | 1417136474 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.