Individual provider · Type 1 NPI

Jonathan Isak Siverson, DDS

General Practice Dentistry · White Bear Lake, MN

NPI number 1205030491 Active

Practice location

4700 White Bear Pkwy
White Bear Lake, MN 55110-3336

Call (651) 762-7677 Map

Fax (651) 762-1861

Mailing address

1291 Niles Ave
St. Paul, MN 55116-1632

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD12410 (MN)

General Practice Dentistry: 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.

5 other providers at this address

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About NPI 1205030491

Jonathan Isak Siverson, DDS's National Provider Identifier is 1205030491, issued on Jun 12, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in White Bear Lake, MN. The record was last updated on Jul 8, 2007.