Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCUS E PETERSON, DDS
ActiveMARCUS E PETERSON, DDS is a Dentist healthcare provider located in RUPERT, Idaho. NPI 1659474005 is currently active in the NPPES registry. Verify at CMS.
Dentist · RUPERT, ID
Registration Details
- NPI Number
- 1659474005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2006 (19.977308409763 yrs)
- Last Updated
- Apr 13, 2021
- License
-
D8782 (OR)
Practice Information
- Address
-
402 6TH STRUPERT, ID, 833501619Browse ID providers · Browse ZIP 83350
- Phone
- 2086507941
- Fax
- 2084360735
- Primary Specialty
-
Dentist
122300000X
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.