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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.