| Dr Justin Thomas Peterson, DDS | |
|
325 E Main St, Saint Anthony, ID 83445-1546 | |
| (208) 356-4900 | |
| (208) 624-4117 |
| Full Name | Dr Justin Thomas Peterson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 325 E Main St, Saint Anthony, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386955029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4293 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Thomas Peterson, DDS Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900 | Dr Justin Thomas Peterson, DDS 325 E Main St, Saint Anthony, ID 83445-1546 Ph: (208) 356-4900 |
Dr. Gabel C Brizzee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 305 E 5th N, Saint Anthony, ID 83445 Phone: 208-624-3757 | |
Dr. Ryan Douglas Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 E 3rd S, Saint Anthony, ID 83445 Phone: 208-624-4322 Fax: 208-624-4634 | |
Dr. John R.f. Toenjes, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 305 E 5th N, Saint Anthony, ID 83445 Phone: 208-624-3757 | |
Dr. Kent A Beesley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 325 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4117 | |
Gabriel Aaron Lenz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 325 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4117 | |
Dr. Neil L Kunz, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 305 E 5th N, Saint Anthony, ID 83445 Phone: 208-624-3757 |