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DR. JUSTIN THOMAS PETERSON D.D.S.
NPI 1386955029
Dentist - General Practice in Saint Anthony, ID

Active since June 28, 2010
325 E MAIN ST, SAINT ANTHONY, ID 83445(208) 356-4900(208) 624-4117 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Thomas Peterson D.d.s. NPPES

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

DR. JUSTIN THOMAS PETERSON D.D.S. (NPI 1386955029) is an individual general practice provider in Saint Anthony, Idaho, licensed in Idaho (D4293) and active in the NPI registry since June 2010. He maintains a secondary practice location in Rexburg.

NPPES Registry Identity

NPI1386955029
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTIN THOMAS PETERSONCredential: D.D.S.
Location Address325 E MAIN STSaint Anthony, ID 83445-1546
Mailing AddressPo Box 18Saint Anthony, ID 83445-0018 · (208) 356-4900 · Fax (208) 624-4117
Phone(208) 356-4900
Fax(208) 624-4117
Sole ProprietorNo
Enumeration DateJune 28, 2010
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1386955029 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 · D4293
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.
325 E MAIN ST, Saint Anthony, ID 83445
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Secondary Practice Location 1

Location 172 S 1st ERexburg, ID 83440-1902 · Phone (208) 356-4900 · Fax (208) 356-3724

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

UPPER VALLEY COMMUNITY HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
325 E MAIN ST
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
DR. KENT A BEESLEY DDS
Dentist (General Practice)
325 E MAIN ST
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
GABRIEL AARON LENZ DMD
Dentist (General Practice)
325 E MAIN ST
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900

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 Justin Peterson's NPI number?

The NPI number for Justin Peterson is 1386955029. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Justin Peterson located?

Justin Peterson practices at 325 E Main St, Saint Anthony, ID 83445. The listed phone number is (208) 356-4900.

What is Justin Peterson's specialty?

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

What insurance does Justin Peterson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Justin Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Peterson was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.