JASON PETERSON, DDS

Dentist - Periodontics

Active Individual
NPI: 1225255748

Practice Address

1980 1ST ST
Idaho Falls, ID 83401

Phone: (208) 524-3400

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X Yes D3325PE (ID)

Frequently Asked Questions

NPI 1225255748 is the National Provider Identifier for JASON PETERSON, DDS, a Dentist - Periodontics provider located in Idaho Falls, ID. This NPI was enumerated on April 18, 2007.
JASON PETERSON, DDS practices at 1980 1ST ST, Idaho Falls, ID 83401.

Quick Facts

NPI
1225255748
Type
Individual
Enumerated
Apr 18, 2007
Last Updated
Jul 8, 2007

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