Wayne R. Peterson, Dmd, Pc
LBN: Wayne R. Peterson, Dmd, Pc
Wayne R. Peterson, Dmd, Pc is an health care organization with primary practice located at 2427 N Cole Rd , Boise ID 83704-5907. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Wayne R. Peterson, Dmd, Pc can be contacted via phone (208) 322-8877, or through Peterson, Wayne R via phone (208) 322-8877.
Contact Information
Primary practice address
2427 N Cole Rd
Boise ID 83704-5907
Phone: (208) 322-8877
Fax:
Website:
Authorized official contact:
Name: Peterson, Wayne R Doctor of Dental Medicine (DMD)
Phone: (208) 322-8877
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | D-3654 | Idaho |
Profile Details
| NPI number | 1205083714 |
|---|---|
| LBN Legal business name | Wayne R. Peterson, Dmd, Pc |
| DBA Doing business as | |
| Authorized official | Peterson, Wayne R Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2008 |
| Last updated | Aug 26th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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