Individual provider · Type 1 NPI
Bruce James Mathiason, DDS
General Practice Dentistry · Walnut Grove, MN
NPI number
1366405722
Active
Practice location
400 7th St
Walnut Grove, MN 56180-9203
Fax (507) 859-2178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D8569 (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.
About NPI 1366405722
Bruce James Mathiason, DDS's National Provider Identifier is 1366405722, issued on Apr 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Walnut Grove, MN. The record was last updated on Jul 13, 2026.