Dr. Wayne Michael Peterson, DMD
Dr. Wayne Michael Peterson, DMD is a General Practice Dentistry in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
1138 W A StMoscow, ID 83843-2127
Phone: (208) 882-9310
Fax: (208) 882-8601
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
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D-1686 (ID) |
|---|
Record details
| NPI number | 1235179466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | June 7, 2006 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 1138 W A St, Moscow, ID 83843-2127 |
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