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

DR. JUSTIN THOMAS PETERSON, D.D.S.

Active

DR. JUSTIN THOMAS PETERSON, D.D.S. is a General Dentistry healthcare provider located in SAINT ANTHONY, Idaho. NPI 1386955029 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SAINT ANTHONY, ID

Registration Details

NPI Number
1386955029
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2010 (16.088831123927 yrs)
Last Updated
May 17, 2022
License
D4293 (ID)

Practice Information

Address
325 E MAIN ST
SAINT ANTHONY, ID, 834451546
Browse ID providers · Browse ZIP 83445
Phone
2083564900
Fax
2086244117
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SAINT ANTHONY, ID

Name Credential NPI
DR. JOHN R.F. TOENJES D.D.S. 1639225576
DR. NEIL L KUNZ D.M.D. 1952457863
DR. GABEL C BRIZZEE D.D.S. 1043366982
DR. KENT A BEESLEY DDS 1679738397
DR. RYAN DOUGLAS SMITH DMD 1225326747
GABRIEL AARON LENZ DMD 1700362886
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.