DR. Samuel Petersen DMD

  • NPI 1720571284
According to our database, the NPI number for DR. Samuel Petersen DMD is 1720571284 and activated since 5 years ago. DR. Samuel Petersen DMD is an individual provider who specializes in Dentist, and the primary practice location is 6700 N Linder Rd Ste 132, Meridian, ID 83646. You can also contact DR. Samuel Petersen DMD via telephone number is (208) 639-9480. Provider NPI information was last updated on 07/30/2019.

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Overview of DR. Samuel Petersen DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/10/2018
  • Last updated: 07/30/2019

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 10136
  • License State: KY

Provider Mailing Address

  • Address: 5066 N Aberdeen Pl
    Meridian, ID 83646
  • Phone: 208-240-4649
  • Fax:

Provider Practice Location

  • Address: 6700 N Linder Rd Ste 132
    Meridian, ID 83646
  • Phone: 208-639-9480
  • Fax:

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 10136
  • License State: KY
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Samuel Petersen DMD?
  • A: The npi number for DR. Samuel Petersen DMD is 1720571284.
  • Q: What are DR. Samuel Petersen DMD's specialties?
  • A: DR. Samuel Petersen DMD's specialties are Dentist and different specialities.
  • Q: What is the medical license for DR. Samuel Petersen DMD?
  • A: The medical license number for DR. Samuel Petersen DMD is 10136 and issued in KY in USA.
  • Q: Where is DR. Samuel Petersen DMD practice location?
  • A: DR. Samuel Petersen DMD is practicing at 6700 N Linder Rd Ste 132, Meridian, ID 83646.
  • Q: How to contact DR. Samuel Petersen DMD?
  • A: You can contact DR. Samuel Petersen DMD via 208-639-9480.
Medicare Specialty
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Clinical Pharmacology
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Sports Medicine
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