Peck, Robert T

Peck, Robert T is an individual health care provider with primary practice located at 7480 Northview St , Boise ID 83704. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peck, Robert T can be contacted via phone (208) 322-2727.

Contact Information

Primary practice address
7480 Northview St Boise ID 83704
Phone: (208) 322-2727
Fax: (208) 375-0225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D1835 Idaho

Profile Details

NPI number 1003874140
LBN Legal business name Peck, Robert T
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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