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PETERSON FAMILY DENTISTRY
NPI 1083873400
Dentist - General Practice in Boise, ID

Active since June 02, 2008
9201 W OVERLAND RD, BOISE, ID 83709(208) 375-0185(208) 375-0305 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERSON FAMILY DENTISTRY (NPI 1083873400) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since June 2008. The organization lists John G Peterson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1083873400
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETERSON FAMILY DENTISTRY
Location Address9201 W OVERLAND RDBoise, ID 83709-2502
Mailing Address9201 W Overland RdBoise, ID 83709-2502 · (208) 375-0185 · Fax (208) 375-0305
Phone(208) 375-0185
Fax(208) 375-0305
Organization SubpartNo
Authorized OfficialJohn G PetersonDentist · (208) 375-0185
Enumeration DateJune 2, 2008
✔ NPI 1083873400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · 3921
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9201 W OVERLAND RD, Boise, ID 83709
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN GREGORY PETERSON DMD
Dentist
9201 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 375-0185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peterson Family Dentistry's NPI number?

The NPI number for Peterson Family Dentistry is 1083873400. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Peterson Family Dentistry located?

Peterson Family Dentistry is located at 9201 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 375-0185.

What is Peterson Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peterson Family Dentistry was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.