Dr. Robert T Peck
Dentist - General Practice
7480 Northview St
Boise
, Idaho 83704
Dr. Robert T Peck
Dentist - General Practice
7480 Northview St
Boise
, Idaho 83704
(208) 375-0225
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Robert T Peck
- 7480 Northview St
- Boise, ID
- Zip : 83704
- Fax : (208) 375-0225
- Phone : (208) 322-2727
Second Address
- Dr. Robert T Peck
- 7480 Northview St
- Boise, ID
- Zip : 83704
- Fax : (208) 375-0225
- Phone : (208) 322-2727
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | D1835 | ID |
| Y | 213EG0000X | General Practice | D1835 | ID |
National Provider Identifier
| NPI | 1003874140 |
|---|---|
| Provider Name | Dr. Robert T Peck |
| First Address | Boise, ID 83704 |
| Second Address | Boise, ID 83704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.