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Mark L. Peterson
General Practice Dentistry in Rigby, Idaho
NPI 1467611624

Mark L. Peterson is a General Practice Dentistry based in Rigby, ID and is specialized in General Practice. Mark L. Peterson practices in Rigby, ID. The NPI Number for Mark L. Peterson is 1467611624 and holds a License No. D1758 (Idaho).

The current practice location address for Mark L. Peterson is 127 1/2 E Short St, Rigby, ID and can be reached out via phone at 208-745-6536 and via fax at 208-745-0006.

Location: 127 1/2 E Short St, Rigby, ID, 83442-1422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467611624
Provider Name
Mark L. Peterson
Credential
Provider Entity Type
Organization
Address
127 1/2 E Short St, Rigby, ID, 83442-1422
Phone Number
208-745-6536
Fax Number
208-745-0006
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
181636 01 IDAHO SMILES
001264500 05 ID
476086 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
127 1/2 E Short St
City
Rigby
State
Idaho
Zip
83442-1422
Phone Number
208-745-6536
Fax Number
208-745-0006
person
Provider Business Mailing Address Details
Address
127 1/2 E Short St
City
Rigby
State
Idaho
Zip
83442-1422
Phone Number
208-745-6536
Fax Number
208-745-0006
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1758 (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.
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