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

Dr. Justin Thomas Peterson, DDS

Individual provider General Practice Dentistry · NPI 1386955029

Dr. Justin Thomas Peterson, DDS is a General Practice Dentistry in Saint Anthony, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

325 E Main St
Saint Anthony, ID 83445-1546
Phone: (208) 356-4900
Fax: (208) 624-4117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 72 S 1st E, Rexburg, ID 83440-1902 — (208) 356-4900

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D4293 (ID)

Record details

NPI number1386955029
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 28, 2010
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing addressPo Box 18, Saint Anthony, ID 83445-0018

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