The Peckham Foundation, INC

NPI #1205793619 in Priest River, Idaho

Provider Information

NPI Number
1205793619
Entity Type
Organization
Organization Name
The Peckham Foundation, INC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 7, 2026
Last Updated
Jan 7, 2026

Practice Location

Address
50 MAIN ST STE 201
State
Idaho
ZIP Code
83856-6758
Phone
(208) 448-4744

Authorized Official

Name
LON PECKHAM, DMD
Title
CEO
Phone
(208) 448-4744

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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