Tayne Peterson is a Burley, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Tayne Peterson is D-5401 for General Practice Dentistry in Idaho. His current practice location is 2200 Park Ave Ste 2, Burley. Patients can reach him at 208-878-6684.
Tayne Peterson 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:
Tayne Peterson 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:
Tayne Peterson
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
2200 Park Ave Ste 2, Burley, Idaho, 83318-2186
Phone:
208-878-6684
Fax:
208-678-3170
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.
NPI Number:
1952960205
NPI Enumeration Date:
11 Jun, 2019
NPI Last Update On:
07 Sep, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tayne Peterson are as mentioned below.
License Number
Specialization
State
Status
D-5401
General Practice Dentistry
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2200 Park Ave, Burley, Idaho
Zip:
83318-2186
Phone Number:
208-878-6684
Patients can reach Tayne Peterson at 2200 Park Ave Ste 2, Burley, Idaho or can call to book an appointment on 208-878-6684. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.