Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON M PETERSON, DDS
Active Sole ProprietorJASON M PETERSON, DDS is a Periodontology healthcare provider located in IDAHO FALLS, Idaho. NPI 1225255748 is currently active in the NPPES registry. Verify at CMS.
Periodontology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1225255748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2007 (19.281633525839 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D3325PE (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1980 1ST STIDAHO FALLS, ID, 834014342Browse ID providers · Browse ZIP 83401
- Phone
- 2085243400
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| ETHAN D. MOULTON | D.D.S.,M.S. | 1740222579 |
| DR. RICHARD DUKE DAVIS | DMD | 1316670698 |
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.