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Search › Idaho › General Practice Dentistry

Ty Peterson, DMD

NPI 1689234437 · on the registry since 2019 · sole proprietor

Practice

Address
325 Main St
Gooding, ID 83330
Phone
(208) 934-8080
Fax
(208) 934-9756
Organisation at this address
Tdc Gooding Pllc
Gooding Family Dental
Mark C. Lambert, Dmd Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-14

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