SearchIdahoDentist

Lon Peckham, DMD

NPI 1841496650 · on the registry since 2007 · sole proprietor

Practice

Address
801 E Medical Ct
Post Falls, ID 83854
Phone
(855) 553-7566
Organisation at this address
Legacy Family Dental Care Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Dentist
122300000X
Also registered as
Dentist
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-19

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