Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK L PETERSON, DDS
Active Sole ProprietorDR. MARK L PETERSON, DDS is a General Dentistry healthcare provider located in RIGBY, Idaho. NPI 1689782864 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RIGBY, ID
Registration Details
- NPI Number
- 1689782864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2006 (19.925910276732 yrs)
- Last Updated
- Jul 9, 2007
- License
-
D 1758 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
127 1/2 E SHORT STRIGBY, ID, 834421422Browse ID providers · Browse ZIP 83442
- Phone
- 2087456536
- Fax
- 2087450006
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in RIGBY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. QUINN COOPER MIKESELL | D.M.D. | 1205843018 |
| DR. RICHARD H. GEORGE | DMD | 1073629523 |
| DR. BOONE ALLEN | DDS | 1396857256 |
| DR. BEN R DANSIE | DMD | 1427250570 |
| CORY WARNER | DDS | 1942932108 |
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.