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

Dr. John Gregory Peterson, DMD

Individual provider Dentist · NPI 1295875953

Dr. John Gregory Peterson, DMD is a Dentist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9201 W Overland Rd
Boise, ID 83709-2502
Phone: (208) 375-0185
Fax: (208) 375-0305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-3921 (ID)

Record details

NPI number1295875953
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address9201 W Overland Rd, Boise, ID 83709-2502

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