Ty Peterson, DMD
Ty Peterson, DMD is a General Practice Dentistry in Gooding, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2019
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
325 Main StGooding, ID 83330-1302
Phone: (208) 934-8080
Fax: (208) 934-9756
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-5035 (ID) |
|---|
Record details
| NPI number | 1689234437 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | Yes |
| NPI enumerated | June 14, 2019 |
| Last updated in NPPES | June 14, 2019 |
| Mailing address | 325 Main St, Gooding, ID 83330-1302 |
Other providers in Gooding
-
Dr. Lawrence John Child, DDS, PC
126 5th Ave W, Gooding, ID 83330-1202 · (208) 934-4610
-
Mark C. Lambert, DMD PC
325 Main St, Gooding, ID 83330-1302 · (208) 934-8080
-
Tdc Gooding PLLC
325 Main St, Gooding, ID 83330 · (208) 934-8080