Marcus E. Peterson, DDS

Dentist · Rupert, ID

Individual Active NPI

NPI number 1659474005

Practice location

402 6TH St
Rupert, ID 83350-1619
Phone
(208) 650-7941
Fax
(208) 436-0735

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NPI record

NPI
1659474005
Entity type
Individual (Type 1)
Enumeration date
September 7, 2006
Last updated
April 13, 2021
Certified
April 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D8782 OR

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856
Phone
(208) 737-6718
Fax
(208) 734-5036

About Dr. Peterson

Marcus E. Peterson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 402 6TH St, Rupert, ID 83350-1619. The NPI number 1659474005 was assigned on September 7, 2006 and the record was last updated on April 13, 2021.

Dr. Peterson lists a license in the registry: #D8782 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marcus E. Peterson, DDS?

The NPI number is 1659474005.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (208) 650-7941.

Where is Dr. Peterson located?

402 6TH St, Rupert, ID 83350-1619.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.