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Mark L. Peterson

General Practice Dentistry in Rigby, ID · enumerated 2008 · authorized official Mark Peterson, Dentist.

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

National Provider Identifier

1467611624

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Registry record

Entity type Organization (Type 2)
Legal business name Mark L. Peterson
Other name <Unavail>
Practice address 127 1/2 E Short St, Rigby, ID, 83442
Phone (208) 745-6536
Fax (208) 745-0006
Enumeration date Jun 3, 2008
Last updated in NPPES Jun 3, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License D1758 (ID) Primary

Authorized official

Name Mark Peterson
Title Dentist
Phone (208) 745-6536

Other identifiers

Identifier Type State Issuer
181636 Other - IDAHO SMILES
001264500 Medicaid ID -
476086 Other - UNITED CONCORDIA

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

What is the NPI number for Mark L. Peterson?
The NPI for Mark L. Peterson is 1467611624, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mark L. Peterson?
NPPES lists Mark Peterson (Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-03.