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MICHAEL E PETERSON DDS
NPI 1942472691
Dentist in Boise, ID

Active since April 01, 2008
5355 W STATE ST, BOISE, ID 83703(208) 853-4687 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael E Peterson Dds NPPES

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

MICHAEL E PETERSON DDS (NPI 1942472691) is an individual dentist in Boise, Idaho, licensed in Idaho (D-3044) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1942472691
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMICHAEL E PETERSONCredential: DDS
Location Address5355 W STATE STBoise, ID 83703-3333
Mailing Address5355 W State StBoise, ID 83703-3333 · (208) 853-4687
Phone(208) 853-4687
Sole ProprietorYes
Enumeration DateApril 1, 2008
✔ NPI 1942472691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D-3044
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5355 W STATE ST, Boise, ID 83703
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Other Identifiers 1

Medicaid0027360ID

Other Providers at the Same Location NPPES 5

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

DR. STEPHEN PATRICK WHITE D.D.S
Dentist (General Practice)
5355 W STATE ST
BOISE, ID 83703
Ada County (208) 853-4687
LAKE HARBOR DENTAL PLLC
Clinic/Center (Dental)
5355 W STATE ST
BOISE, ID 83703
Ada County (208) 853-4687
LAKE HARBOR DENTAL
Dentist (General Practice)
5355 W STATE ST
BOISE, ID 83703
Ada County (208) 853-4687
WHITE SMILES LLC
Dentist (General Practice)
5355 W STATE ST
BOISE, ID 83703
Ada County (208) 853-4687
ERIC BALLOU DDS
Dentist
5355 W STATE ST
BOISE, ID 83703
Ada County (208) 853-4687

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 Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1942472691. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Michael Peterson located?

Michael Peterson practices at 5355 W State St, Boise, ID 83703. The listed phone number is (208) 853-4687.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on April 1, 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.