Dr. Samuel Petersen is a Eagle, Idaho based Dentist who is specialized in
Dentistry. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. His current practice location is
450 W State St Ste 115, Eagle. Patients can reach him at
208-370-5203.
Dr. Samuel Petersen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Samuel Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Samuel Petersen |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 450 W State St Ste 115, Eagle,
Idaho, 83616-7055 |
| Phone: | 208-370-5203 |
| Fax: | 208-370-5204 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1052661279 |
| Enrollment ID: | I20180910002871 |
| NPI Number: | 1720571284 |
| NPI Enumeration Date: | 10 Jun, 2018 |
| NPI Last Update On: | 28 Feb, 2024 |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 450 W State St Ste 115,
Eagle, Idaho |
| Zip: | 83616-7055 |
| Phone Number: | 208-370-5203 |
| Fax Number: | 208-370-5204 |
Patients can reach Dr. Samuel Petersen at
450 W State St Ste 115, Eagle, Idaho or can
call to book an appointment on 208-370-5203.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.