OrganizationActive
Wayne R. Peterson, DMD, PC
NPI 1205083714 · Dental Clinic/Center · Boise, ID
Wayne R. Peterson, DMD, PC is a Dental Clinic/Center organization in Boise, ID (NPI 1205083714).
Provider details
- NPI number
- 1205083714
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wayne Peterson, President(208) 322-8877
- License
- D-3654 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2427 N Cole Rd
Boise, ID 83704-5907
Phone: (208) 322-8877
Street-level locationGet directions
Mailing address
2427 N Cole Rd
Boise, ID 83704-5907
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2008-08-26
Frequently asked questions
- What is Wayne R. Peterson, DMD, PC's NPI number?
- Wayne R. Peterson, DMD, PC's National Provider Identifier (NPI) is 1205083714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wayne R. Peterson, DMD, PC?
- Wayne R. Peterson, DMD, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wayne R. Peterson, DMD, PC located?
- Wayne R. Peterson, DMD, PC's practice location on file with NPPES is 2427 N Cole Rd, Boise, ID 83704-5907.
- What is Wayne R. Peterson, DMD, PC's phone number?
- The practice phone number listed in the NPPES registry for Wayne R. Peterson, DMD, PC is (208) 322-8877.
- Who is the authorized official for Wayne R. Peterson, DMD, PC?
- The authorized official listed on Wayne R. Peterson, DMD, PC's NPPES record is Wayne Peterson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wayne R. Peterson, DMD, PC's NPI active?
- Yes — Wayne R. Peterson, DMD, PC's NPI (1205083714) is active in the NPPES registry as of the last update on 2008-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.