BURLEY FAMILY DENTAL
NPI 1942936406
Clinic/Center - Dental in Burley, ID

Q: What is Tayne A Peterson Dmd PLLC's NPI number?

The NPI number for Tayne A Peterson Dmd PLLC is 1942936406. It was assigned to this organization in the NPPES registry on July 27, 2022. The provider is doing business as Burley Family Dental.

Q: What is Tayne A Peterson Dmd PLLC's specialty?

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

Active since July 27, 2022

2200 PARK AVE STE 2, BURLEY, ID 83318(208) 878-6684 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2022, Jul 27, 2022 (2 updates tracked since 2022).

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About Burley Family Dental NPPES

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

BURLEY FAMILY DENTAL (NPI 1942936406) is a healthcare organization registered as a dental in Burley, Idaho and active in the NPI registry since July 2022. The organization lists Tayne Peterson, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1942936406

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameTAYNE A PETERSON DMD PLLC

Location Address2200 PARK AVE STE 2Burley, ID 83318-2186

Mailing Address2200 Park Ave Ste 2Burley, ID 83318-2186 · (208) 878-6684

Phone(208) 878-6684

Organization SubpartNo

Authorized OfficialTayne PetersonSole Mbr · (208) 670-4428

Enumeration DateJuly 27, 2022

Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1942936406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

2200 PARK AVE STE 2, Burley, ID 83318

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Other Names 1

Doing Business AsBurley Family Dental

Other Providers at the Same Location NPPES

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

TAYNE PETERSON

Dentist (General Practice)

2200 PARK AVE STE 2
BURLEY, ID 83318

Cassia County (208) 878-6684

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 Tayne A Peterson Dmd PLLC's NPI number?

The NPI number for Tayne A Peterson Dmd PLLC is 1942936406. It was assigned to this organization in the NPPES registry on July 27, 2022. The provider is doing business as Burley Family Dental.

Where is Tayne A Peterson Dmd PLLC located?

Tayne A Peterson Dmd PLLC is located at 2200 Park Ave Ste 2, Burley, ID 83318. The listed phone number is (208) 878-6684.

What is Tayne A Peterson Dmd PLLC'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 Tayne A Peterson Dmd PLLC was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.