Peter Todd Mathison is a Dentist in Fargo, North Dakota. Peter Todd Mathison practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter Todd Mathison is 1104912609. The last update date is 2007-07-08.
Peter Todd Mathison's current location address is 1351 Page Drive South, Fargo, North Dakota. You can contact this provider via phone number 7014784500 and fax number 7014784501. The mailing address for Peter Todd Mathison is 1351 Page Drive South, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Todd Mathison |
|---|---|
| Address | 1351 Page Drive South, Fargo, North Dakota |
| Phone Number | 7014784500 |
| Fax Number | 7014784501 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104912609 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1351 Page Drive South |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581033536 |
| Phone Number | 7014784500 |
| Fax Number | 7014784501 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1933 |
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Definition: 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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 901933 | ND | DSC OF ND | |
| 450484245-00001 | MN | DELTA DENTAL OF MN |
Post Comment/ Review Below
What is the unique identifier code issued to Peter Todd Mathison by the Centers for Medicare & Medicaid Services (CMS)?
The Peter Todd Mathison has been assigned the NPI (National Provider Identifier) 1104912609. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Peter Todd Mathison is physically located?
The Peter Todd Mathison is situated at the following address: 1351 Page Drive South, Fargo, ND 581033536.
What is Peter Todd Mathison's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Peter Todd Mathison is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Peter Todd Mathison receive its 1104912609 assignment from the Centers for Medicare & Medicaid Services?
The Peter Todd Mathison was assigned its 1104912609 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details pertaining to Peter Todd Mathison last refreshed?
The information related to the Peter Todd Mathison, including its address, specialty, and other relevant details, was last updated on 2007-07-08.