IndividualActive
Bryan Petersen, D.D.S.
NPI 1205994373 · Dentist · Grangeville, ID
Bryan Petersen, D.D.S. is a Dentist provider in Grangeville, ID (NPI 1205994373).
Provider details
- NPI number
- 1205994373
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-3101 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
120 N a St
Grangeville, ID 83530-1211
Phone: (208) 983-1651
Street-level locationGet directions
Mailing address
216 S College St
Grangeville, ID 83530-1922
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Bryan Petersen's NPI number?
- Bryan Petersen's National Provider Identifier (NPI) is 1205994373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Petersen's specialty?
- Bryan Petersen is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Bryan Petersen located?
- Bryan Petersen's practice location on file with NPPES is 120 N a St, Grangeville, ID 83530-1211.
- What is Bryan Petersen's phone number?
- The practice phone number listed in the NPPES registry for Bryan Petersen is (208) 983-1651.
- Is Bryan Petersen's NPI active?
- Yes — Bryan Petersen's NPI (1205994373) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.