| Dr Bryan James Petersen, DDS | |
|
120 N A St, Grangeville, ID 83530-1211 | |
| (208) 983-1651 | |
| Not Available |
| Full Name | Dr Bryan James Petersen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 120 N A St, Grangeville, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205994373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-3101 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan James Petersen, DDS 216 S College St, Grangeville, ID 83530-1922 Ph: (208) 983-2145 | Dr Bryan James Petersen, DDS 120 N A St, Grangeville, ID 83530-1211 Ph: (208) 983-1651 |
Dr. John A. Link, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 412 W Main St, Grangeville, ID 83530 Phone: 208-983-2422 | |
Dr. Michael D Nelson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 412 W Main St, Grangeville, ID 83530 Phone: 208-983-2422 Fax: 208-983-3404 | |
Koalby Brown, Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 N A St, Grangeville, ID 83530 Phone: 208-983-1651 | |
Dr. Bradley J Schaff, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 615 W North St, Grangeville, ID 83530 Phone: 208-983-0105 | |
Dr. Allen Raymond Chenoweth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 615 W North St, Grangeville, ID 83530 Phone: 208-983-0105 |