Jonathan Isak Siverson in White Bear Lake - General Practice
Jonathan Isak Siverson - NPI 1205030491
Jonathan Isak Siverson is a General Practice in White Bear Lake, Minnesota. Jonathan Isak Siverson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jonathan Isak Siverson is 1205030491. The last update date is 2007-07-08.
Jonathan Isak Siverson's current location address is 4700 White Bear Pkwy, White Bear Lake, Minnesota. You can contact this provider via phone number 6517627677 and fax number 6517621861. The mailing address for Jonathan Isak Siverson is 4700 White Bear Pkwy, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Isak Siverson |
|---|---|
| Address | 4700 White Bear Pkwy, White Bear Lake, Minnesota |
| Phone Number | 6517627677 |
| Fax Number | 6517621861 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1205030491 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4700 White Bear Pkwy |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551103336 |
| Phone Number | 6517627677 |
| Fax Number | 6517621861 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D12410 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Jonathan Isak Siverson's unique identification number?
The Jonathan Isak Siverson has been assigned the NPI (National Provider Identifier) Number 1205030491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jonathan Isak Siverson's facilities are geographically located?
The facilities of Jonathan Isak Siverson are physically situated at the following location: 4700 White Bear Pkwy, White Bear Lake, MN, 551103336.
What is Jonathan Isak Siverson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jonathan Isak Siverson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Jonathan Isak Siverson receive its 1205030491 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Isak Siverson was assigned its 1205030491 on 2007-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jonathan Isak Siverson most recently updated?
The details pertaining to the Jonathan Isak Siverson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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