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PETERSON DENTAL
NPI 1467611624
Dentist - General Practice in Rigby, ID

Active since June 03, 2008
127 1/2 E SHORT ST, RIGBY, ID 83442(208) 745-6536(208) 745-0006 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Dental NPPES

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

PETERSON DENTAL (NPI 1467611624) is a healthcare organization registered as a general practice in Rigby, Idaho and active in the NPI registry since June 2008. The organization lists Mark L Peterson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1467611624
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK L. PETERSON
Location Address127 1/2 E SHORT STRigby, ID 83442-1422
Mailing Address127 1/2 E Short StRigby, ID 83442-1422 · (208) 745-6536 · Fax (208) 745-0006
Phone(208) 745-6536
Fax(208) 745-0006
Organization SubpartNo
Authorized OfficialMark L PetersonDentist · (208) 745-6536
Enumeration DateJune 3, 2008
✔ NPI 1467611624 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 · D1758
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.
127 1/2 E SHORT ST, Rigby, ID 83442
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Other Names 1

Doing Business AsPeterson Dental

Other Identifiers 3

Medicaid001264500ID
Other476086United Concordia
Other181636Idaho Smiles

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 2

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

RIGBY DENTAL, INC.
Dentist
127 1/2 E SHORT ST
RIGBY, ID 83442
Jefferson County (208) 745-6536
DR. MARK L PETERSON DDS
Dentist (General Practice)
127 1/2 E SHORT ST
RIGBY, ID 83442
Jefferson County (208) 745-6536

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 Mark L. Peterson's NPI number?

The NPI number for Mark L. Peterson is 1467611624. It was assigned to this organization in the NPPES registry on June 3, 2008. The provider is doing business as Peterson Dental.

Where is Mark L. Peterson located?

Mark L. Peterson is located at 127 1/2 E Short St, Rigby, ID 83442. The listed phone number is (208) 745-6536.

What is Mark L. Peterson'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 Mark L. Peterson was last updated on June 3, 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.