OrganizationActive
Mark L. Peterson
NPI 1467611624 · General Practice Dentistry · Rigby, ID
Mark L. Peterson is a General Practice Dentistry organization in Rigby, ID (NPI 1467611624).
Provider details
- NPI number
- 1467611624
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Peterson, Dentist(208) 745-6536
- License
- D1758 (ID)
Specialties & taxonomies
Dental Providers
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
18 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
127 1/2 E Short St
Rigby, ID 83442-1422
Phone: (208) 745-6536
Fax: (208) 745-0006
Street-level locationGet directions
Mailing address
127 1/2 E Short St
Rigby, ID 83442-1422
Other names (DBA / former)
- Doing business as
- Peterson Dental
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2008-06-03
Frequently asked questions
- What is Mark L. Peterson's NPI number?
- Mark L. Peterson's National Provider Identifier (NPI) is 1467611624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark L. Peterson?
- Mark L. Peterson is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mark L. Peterson located?
- Mark L. Peterson's practice location on file with NPPES is 127 1/2 E Short St, Rigby, ID 83442-1422.
- What is Mark L. Peterson's phone number?
- The practice phone number listed in the NPPES registry for Mark L. Peterson is (208) 745-6536.
- Who is the authorized official for Mark L. Peterson?
- The authorized official listed on Mark L. Peterson's NPPES record is Mark Peterson, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark L. Peterson's NPI active?
- Yes — Mark L. Peterson's NPI (1467611624) is active in the NPPES registry as of the last update on 2008-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.