Dr. Samuel Petersen , DMD
Dentist - General Practice • Eagle, ID
Professional Overview & Biography Verified Profile Summary
Dr. Samuel Petersen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Eagle, ID. Practice services are available at 450 W STATE ST STE 115 under active NPI credentials.
Practice Location & Contact Primary Location
450 W State St Ste 115
Eagle, ID 836167055
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Eagle, ID
Practicing in Eagle, ID (781 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-02-07NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Practice Locations
6700 N Linder Rd Ste 132
Meridian, ID 83646
Phone: 2086399480
6700 N Linder Rd Ste 132
Meridian, ID 83646
Phone: 2086399480
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Endodontics
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 450 W STATE ST STE 115, EAGLE, ID 836167055 (Tel: 2083705203)
Registered at 450 W STATE ST STE 115, EAGLE, ID 836167055 (Tel: 2083705203)
Registered at 6700 N LINDER RD STE 132, MERIDIAN, ID 83646 (Tel: 2086399480)
Registered at 5066 N ABERDEEN PL, MERIDIAN, ID 836465603 (Tel: 2082404649)
Recorded as SAMUEL PETERSEN, DMD
NPI status registered as active in NPPES database
Registered at 3701 HOPEWELL RD, LOUISVILLE, KY 402995392 (Tel: 5022665661)
Registered at 1910 WESTMOORLAND WAY, LOUISVILLE, KY 402423447 (Tel: 2082404649)
Recorded as SAMUEL PETERSEN
Dentist (License #10136 in KY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
450 W State St Ste 115
Eagle, ID 836167055
Phone: 2083705203
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.