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TY PETERSON DMD
NPI 1689234437
Dentist - General Practice in Gooding, ID

Active since June 14, 2019
325 MAIN ST, GOODING, ID 83330(208) 934-8080(208) 934-9756 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ty Peterson Dmd NPPES

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

TY PETERSON DMD (NPI 1689234437) is an individual general practice provider in Gooding, Idaho, licensed in Idaho (D-5035) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1689234437
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTY PETERSONCredential: DMD
Location Address325 MAIN STGooding, ID 83330-1302
Mailing Address325 Main StGooding, ID 83330-1302
Phone(208) 934-8080
Fax(208) 934-9756
Sole ProprietorYes
Enumeration DateJune 14, 2019
✔ NPI 1689234437 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 · D-5035
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 MAIN ST, Gooding, ID 83330
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Accepted Insurance

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

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.

MARK C. LAMBERT, DMD PC
Dentist (General Practice)
325 MAIN ST
GOODING, ID 83330
Gooding County (208) 934-8080
GOODING FAMILY DENTAL
Clinic/Center (Dental)
325 MAIN ST
GOODING, ID 83330
Gooding County (208) 934-8080

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 Ty Peterson's NPI number?

The NPI number for Ty Peterson is 1689234437. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Ty Peterson located?

Ty Peterson practices at 325 Main St, Gooding, ID 83330. The listed phone number is (208) 934-8080.

What is Ty Peterson's specialty?

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

What insurance does Ty Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Ty 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 Ty Peterson was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.