Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WAYNE MICHAEL PETERSON, DMD

Active

DR. WAYNE MICHAEL PETERSON, DMD is a General Dentistry healthcare provider located in MOSCOW, Idaho. NPI 1235179466 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MOSCOW, ID

Registration Details

NPI Number: 1235179466
Provider Type: Individual
Gender: Male
NPI Issued: Jun 7, 2006 (20.149570665184 yrs)
Last Updated: Jul 8, 2007
License: D-1686 (ID)

Practice Information

Address: 1138 W A ST

MOSCOW, ID, 838432127
Browse ID providers · Browse ZIP 83843
Phone: 2088829310
Fax: 2088828601
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in MOSCOW, ID

Name	Credential	NPI
DR. JOHN ANDREW WERNER	D.D.S.	1144355983
DR. BRYAN S SCHIAVONI	D.D.S.	1942328927
DR. JAMES WILMER GARRETT	D.D.S.	1326167024
DR. GERALD E WEITZ	D.D.S.	1437278090
RICHARD E. BAILEY	D.M.D.	1083827083
DR. PATRICIA ANN BOWEN	DDS	1871898874

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.