Lookup NPI Numbers from the NPI Registry
NPI Profile for KELSEY PETERSON in EMMETT, ID.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Orthodontics and Dentofacial Orthopedics |
1223X0400X |
| NPI Number | 1396069712 |
|
| Status | Active | |
| Credentials | DMD (Doctor of Medical Dentistry) | |
| Entity | Individual | |
| Enumeration date | 03/15/2010 | |
| Last updated | 02/13/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELSEY PETERSON
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KELSEY PETERSON, DMD