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

Kelsey Peterson, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1396069712

Kelsey Peterson, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Emmett, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1312 S Washington St
Emmett, ID 83617
Phone: (208) 941-6640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-4282 (ID)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence D-4282-OR (ID)

Record details

NPI number1396069712
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 15, 2010
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024