William Walter Iversen in Fort Collins - Orthodontics And Dentofacial Orthopedics
William Walter Iversen - NPI 1487612057
William Walter Iversen is a Orthodontics And Dentofacial Orthopedics in Fort Collins, Colorado. William Walter Iversen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William Walter Iversen is 1487612057. The last update date is 2007-07-08.
William Walter Iversen's current location address is 1103 S Shields, Fort Collins, Colorado. You can contact this provider via phone number 9704843214 and fax number 9704844007. The mailing address for William Walter Iversen is 1103 S Shields, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | William Walter Iversen |
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Address | 1103 S Shields, Fort Collins, Colorado |
Phone Number | 9704843214 |
Fax Number | 9704844007 |
Sole Proprietor | X |
Credentials | DDS MS |
NPI Number Detail
NPI Number | 1487612057 |
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Provider Enumeration Date | 2006-05-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1103 S Shields |
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City | Fort Collins |
State | Colorado (CO) |
Post Code | 80521 |
Phone Number | 9704843214 |
Fax Number | 9704844007 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 104735 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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87457563 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to William Walter Iversen?
The William Walter Iversen has been issued the NPI (National Provider Identifier) 1487612057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where William Walter Iversen is physically located?
The William Walter Iversen is situated at the following address: 1103 S Shields, Fort Collins, CO 80521.
What is William Walter Iversen's area of expertise and its corresponding taxonomy classification?
The William Walter Iversen's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
When did the William Walter Iversen receive its 1487612057?
The William Walter Iversen was issued its 1487612057 on 2006-05-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to William Walter Iversen most recently updated or revised?
The information pertaining to William Walter Iversen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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