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Kelsey Peterson, DMD
General Practice Dentistry in Emmett, Idaho
NPI 1396069712

Kelsey Peterson is a General Practice Dentistry based in Emmett, ID and is specialized in General Practice. Kelsey Peterson practices in Emmett, ID and has the professional credentials of DMD. The NPI Number for Kelsey Peterson is 1396069712 and holds a License No. D-4282-OR (Idaho).

The current practice location address for Kelsey Peterson is 1312 South Washington Street, Emmett, ID and can be reached out via phone at 208-941-6640.

Location: 1312 South Washington Street, Emmett, ID, 83617-3596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396069712
Provider Name
Kelsey Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1312 South Washington Street, Emmett, ID, 83617-3596
Phone Number
208-941-6640
Fax Number
Provider Enumeration Date
03/15/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1312 South Washington Street
City
Emmett
State
Idaho
Zip
83617
Phone Number
208-941-6640
Fax Number
person
Provider Business Mailing Address Details
Address
1312 South Washington Street
City
Emmett
State
Idaho
Zip
83617
Phone Number
208-941-6640
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-4282 (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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
D-4282-OR (Idaho)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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