location
search-icon
person
Dr. Wayne Michael Peterson, DMD
General Practice Dentistry in Moscow, Idaho
NPI 1235179466

Wayne Michael Peterson is a General Practice Dentistry based in Moscow, ID and is specialized in General Practice. Wayne Michael Peterson practices in Moscow, ID and has the professional credentials of DMD. The NPI Number for Wayne Michael Peterson is 1235179466 and holds a License No. D-1686 (Idaho).

The current practice location address for Wayne Michael Peterson is 1138 W A St, Moscow, ID and can be reached out via phone at 208-882-9310 and via fax at 208-882-8601.

Location: 1138 W A St, Moscow, ID, 83843-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235179466
Provider Name
Wayne Michael Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1138 W A St, Moscow, ID, 83843-2127
Phone Number
208-882-9310
Fax Number
208-882-8601
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1138 W A St
City
Moscow
State
Idaho
Zip
83843-2127
Phone Number
208-882-9310
Fax Number
208-882-8601
person
Provider Business Mailing Address Details
Address
1138 W A St
City
Moscow
State
Idaho
Zip
83843-2127
Phone Number
208-882-9310
Fax Number
208-882-8601
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-1686 (Idaho)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.