Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wayne R. Peterson, DMD, PC

Organization Dental Clinic/Center · NPI 1205083714

Wayne R. Peterson, DMD, PC is a Dental Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2427 N Cole Rd
Boise, ID 83704-5907
Phone: (208) 322-8877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D-3654 (ID)

Record details

NPI number1205083714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Peterson — President · (208) 322-8877
NPI enumeratedAugust 26, 2008
Last updated in NPPESAugust 26, 2008
Mailing address2427 N Cole Rd, Boise, ID 83704-5907

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