Organization
THE PECKHAM FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LON PECKHAM DMD (CEO)
(208) 448-4744
Entity
Organization
Contact information
Practice address
50 MAIN ST STE 201, PRIEST RIVER, ID 83856-6758
(208) 448-4744
Mailing address
50 MAIN ST STE 201, PRIEST RIVER, ID 83856-6758
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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