WAYNE R. PETERSON, DMD, PC
NPI 1205083714
Clinic/Center - Dental in Boise, ID

Active since August 26, 2008
2427 N COLE RD, BOISE, ID 83704(208) 322-8877 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayne R. Peterson, Dmd, Pc NPPES

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

WAYNE R. PETERSON, DMD, PC (NPI 1205083714) is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since August 2008. The organization lists Wayne R Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1205083714
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWAYNE R. PETERSON, DMD, PC
Location Address2427 N COLE RDBoise, ID 83704-5907
Mailing Address2427 N Cole RdBoise, ID 83704-5907 · (208) 322-8877
Organization SubpartNo
Authorized OfficialWayne R PetersonPresident · (208) 322-8877
Enumeration DateAugust 26, 2008
NPI 1205083714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in ID · D-3654
2427 N COLE RD, Boise, ID 83704

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2427 N COLE RD
BOISE, ID 83704
Nurse Practitioner (Family)
2427 N COLE RD
BOISE, ID 83704

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 Wayne R. Peterson, Dmd, PC's NPI number?

The NPI number for Wayne R. Peterson, Dmd, PC is 1205083714. It was assigned to this organization in the NPPES registry on August 26, 2008.

Where is Wayne R. Peterson, Dmd, PC located?

Wayne R. Peterson, Dmd, PC is located at 2427 N Cole Rd, Boise, ID 83704. The listed phone number is (208) 322-8877.

What is Wayne R. Peterson, Dmd, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wayne R. Peterson, Dmd, PC was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.