NPI age
17 years
Enumerated 2008-08-26
● Active Type 2 · Organization
Wayne R. Peterson, Dmd, Pc
Wayne R. Peterson, Dmd, Pc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
President
Last NPPES update
2008-08-26
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2427 N Cole Rd
Boise, ID 837045907
Mailing address
2427 N Cole Rd
Boise, ID 837045907
Authorized official
Wayne R Peterson, DMD
President
📞 2083228877
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Wayne Peterson, D.M.D. Dentist NPI 1194803577
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.