Kelsey Peterson, DMD

NPI #1396069712 in Emmett, Idaho

Provider Information

NPI Number: 1396069712
Entity Type: Individual
Name: Kelsey Peterson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 15, 2010
Last Updated: Feb 13, 2024

Practice Location

Address: 1312 SOUTH WASHINGTON STREET
City: Emmett
State: Idaho
ZIP Code: 83617
Phone: (208) 941-6640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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