Ty Peterson is a Gooding, 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 Ty Peterson is D-5035 for General Practice Dentistry in Idaho. His current practice location is 325 Main St, Gooding. Patients can reach him at 208-934-8080.
Ty 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:
Ty 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:
Ty Peterson
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
325 Main St, Gooding, Idaho, 83330-1302
Phone:
208-934-8080
Fax:
208-934-9756
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:
1689234437
NPI Enumeration Date:
14 Jun, 2019
NPI Last Update On:
14 Jun, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ty Peterson are as mentioned below.
License Number
Specialization
State
Status
D-5035
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:
325 Main St, Gooding, Idaho
Zip:
83330-1302
Patients can reach Ty Peterson at 325 Main St, Gooding, Idaho or can call to book an appointment on 208-934-8080. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.