Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659474005 Individual Practitioner Male Practitioner

Dr. Marcus E Peterson , DDS

Dentist • Rupert, ID

Professional Overview & Biography Verified Profile Summary

Dr. Marcus Peterson, DDS is a registered healthcare professional specializing in Dentist in Rupert, ID. Practice services are available at 402 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

402 6th St

Rupert, ID 833501619

Telephone 2086507941
Fax 2084360735
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rupert, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Rupert, ID (448 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

CMS Verified: 2021-04-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D8782

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Victoria Vega , PA-C

Physician Assistant - Medical

NPI 1205569639

Physician Assistant (Certified)

Hayden Wheatley , PA-C

Physician Assistant

NPI 1336990514

Physician Assistant (Certified)

Dr. Dawn Jennings , MD

Family Medicine

NPI 1437350774

Doctor of Medicine (M.D.)

Janet King , RN NP

Family Medicine

NPI 1578550547

RNNP

Jared Keller , PA

Physician Assistant

NPI 1861822439

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 13, 2021

Registered at 402 6TH ST, RUPERT, ID 833501619 (Tel: 2086507941)

📍
Updated Business Mailing Address April 13, 2021

Registered at 794 EASTLAND DR, TWIN FALLS, ID 833016856 (Tel: 2087376718)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2440 DAHLIA ST, KLAMATH FALLS, OR 976011112 (Tel: 5418823313)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2440 DAHLIA ST, KLAMATH FALLS, OR 976011112 (Tel: 5418823313)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARCUS PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D8782 in OR)

🟢
Initial NPI Registration & Enumeration September 07, 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: 1659474005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: April 13, 2021
Sole Proprietor: No

Mailing Address

794 Eastland Dr

Twin Falls, ID 833016856

Phone: 2087376718

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.