Ty Peterson, DMD

NPI #1689234437 in Gooding, Idaho

Provider Information

NPI Number: 1689234437
Entity Type: Individual
Name: Ty Peterson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 14, 2019
Last Updated: Jun 14, 2019

Practice Location

Address: 325 MAIN ST
City: Gooding
State: Idaho
ZIP Code: 83330-1302
Phone: (208) 934-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Lawrence John Child, DDS, PC	Dentist - General Practice	Gooding	AI Deep Dive
DR. Lady-Jean M Ramsey, DMD	Dentist - General Practice	Hayden	AI Deep Dive
DR. Fred Stillings, D.M.D.	Dentist - General Practice	Meridian	AI Deep Dive

Organizations

Provider Name	Specialty	City
Mark C. Lambert, Dmd PC	Dentist - General Practice	Gooding	AI Deep Dive
Tdc Gooding Pllc	Dentist - General Practice	Gooding	AI Deep Dive

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