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Dr. Justin Thomas Peterson, D.D.S.

General Practice Dentistry in Saint Anthony, ID · enumerated 2010 · practices at Upper Valley Community Health Services Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386955029

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Registry record

Entity type Individual (Type 1)
Name Dr. Justin Thomas Peterson
Credential D.D.S.
Sex Male
Practice address 325 E Main St, Saint Anthony, ID, 83445
Phone (208) 356-4900
Fax (208) 624-4117
Enumeration date Jun 28, 2010
Last updated in NPPES May 17, 2022

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License D4293 (ID) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Justin Peterson?
Justin Peterson is registered in NPPES with the primary taxonomy of General Practice Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-17.