Justin Peterson, D.D.S

NPI 1386955029 · on the registry since 2010

Practice

Address: 325 E Main St
Saint Anthony, ID 83445
Phone: (208) 356-4900
Fax: (208) 624-4117
Organisation at this address: Upper Valley Community Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Additional practice sites

72 S 1st E, Rexburg, ID

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho