Tayne a Peterson DMD PLLC
Tayne a Peterson DMD PLLC is a Dental Clinic/Center in Burley, Idaho. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2200 Park Ave Ste 2Burley, ID 83318-2186
Phone: (208) 878-6684
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1942936406 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tayne Peterson — Sole Mbr · (208) 670-4428 |
| Other names | Burley Family Dental; Burley Family Dental |
| NPI enumerated | July 27, 2022 |
| Last updated in NPPES | September 7, 2022 |
| Certification date | September 7, 2022 |
| Mailing address | 2200 Park Ave Ste 2, Burley, ID 83318-2186 |
Other providers in Burley
-
Evans Dental PA
1308 Bennett Ave, Burley, ID 83318-2665 · (208) 647-4441
-
Spring Creek Dentistry, LLC
1706 Overland Ave, Burley, ID 83318-2436 · (208) 678-2332