Provider Profile

Samuel Petersen, DMD

Unclaimed Profile

About Dr. Petersen

Samuel Petersen, DMD is a general practice dentistry practicing in Eagle, ID. Samuel is also listed as specializing in dentist.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

General Practice Dentistry (Primary)
General Practice Dentistry (Additional)

Credentials & Licensing

ID licenseD-5038
KY license10136
NPI1720571284
NPI issued06/10/2018

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What does Dr. Petersen specialize in?

Dr. Petersen is a dentist in Eagle, ID. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.

NPI registry

Where is Dr. Petersen located?

Dr. Petersen is listed at 450 W State St Ste 115, Eagle, ID 83616. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Petersen's phone number?

The number on file is (208) 370-5203. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dr. Petersen's NPI number?

Dr. Petersen's National Provider Identifier is 1720571284. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Petersen been practicing?

Dr. Petersen has 8+ years experience. Registered with an NPI since 2018. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Petersen confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Petersen. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.