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

Nathan Michael Peterson, DDS

Individual provider General Practice Dentistry · NPI 1114596673

Nathan Michael Peterson, DDS is a General Practice Dentistry in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
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

2174 Canyon Plaza Dr Ste 100
Twin Falls, ID 83301-4513
Phone: (208) 735-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-5290 (ID)

Record details

NPI number1114596673
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 20, 2021
Last updated in NPPESMay 4, 2025
Certification dateMay 4, 2025
Mailing address3842 Susan Cir E, Hansen, ID 83334-5502

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