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Jason M Peterson, DDS
Periodontist in Idaho Falls, Idaho
NPI 1225255748

Jason M Peterson is a Periodontist based in Idaho Falls, ID and is specialized in Periodontics. Jason M Peterson practices in Idaho Falls, ID and has the professional credentials of DDS. The NPI Number for Jason M Peterson is 1225255748 and holds a License No. D3325PE (Idaho).

The current practice location address for Jason M Peterson is 1980 1St St, Idaho Falls, ID and can be reached out via phone at 208-524-3400.

Location: 1980 1St St, Idaho Falls, ID, 83401-4342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225255748
Provider Name
Jason M Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1980 1St St, Idaho Falls, ID, 83401-4342
Phone Number
208-524-3400
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1980 1St St
City
Idaho Falls
State
Idaho
Zip
83401-4342
Phone Number
208-524-3400
Fax Number
person
Provider Business Mailing Address Details
Address
1980 1St St
City
Idaho Falls
State
Idaho
Zip
83401-4342
Phone Number
208-524-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
D3325PE (Idaho)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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