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Ty Peterson, DMD
General Practice Dentistry in Gooding, Idaho
NPI 1689234437

Ty Peterson is a General Practice Dentistry based in Gooding, ID and is specialized in General Practice. Ty Peterson practices in Gooding, ID and has the professional credentials of DMD. The NPI Number for Ty Peterson is 1689234437 and holds a License No. D-5035 (Idaho).

The current practice location address for Ty Peterson is 325 Main St, Gooding, ID and can be reached out via phone at 208-934-8080 and via fax at 208-934-9756. You can also correspond with Ty Peterson through the mailing address at 325 MAIN ST, GOODING, ID - 83330-1302 (mailing address contact number: ).

Location: 325 Main St, Gooding, ID, 83330-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689234437
Provider Name
Ty Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
325 Main St, Gooding, ID, 83330-1302
Phone Number
208-934-8080
Fax Number
208-934-9756
Provider Enumeration Date
06/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 Main St
City
Gooding
State
Idaho
Zip
83330-1302
Phone Number
208-934-8080
Fax Number
208-934-9756
person
Provider Business Mailing Address Details
Address
325 Main St
City
Gooding
State
Idaho
Zip
83330-1302
Phone Number
208-934-8080
Fax Number
208-934-9756
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-5035 (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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