Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689782864 Individual Practitioner Male Practitioner

Dr. Mark L Peterson , DDS

Dentist - General Practice • Rigby, ID

Professional Overview & Biography Verified Profile Summary

Dr. Mark Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rigby, ID. Practice services are available at 127 1/2 E SHORT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

127 1/2 E Short St

Rigby, ID 834421422

Telephone 2087456536
Fax 2087450006
Associated Practice Facility / Clinic
🏢 Mark L. Peterson Facility NPI 1467611624

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rigby, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Rigby, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D 1758

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 127 1/2 E SHORT ST, RIGBY, ID 834421422 (Tel: 2087456536)

📍
Updated Business Mailing Address July 09, 2007

Registered at 127 1/2 E SHORT ST, RIGBY, ID 834421422 (Tel: 2087456536)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARK PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D 1758 in ID)

🟢
Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689782864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

127 1/2 E Short St

Rigby, ID 834421422

Phone: 2087456536

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.