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

Michael E Peterson, DDS

Individual provider Dentist · NPI 1942472691

Michael E Peterson, DDS is a Dentist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2008
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

5355 W State St
Boise, ID 83703-3333
Phone: (208) 853-4687
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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-3044 (ID)

Record details

NPI number1942472691
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 1, 2008
Last updated in NPPESApril 1, 2008
Mailing address5355 W State St, Boise, ID 83703-3333

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