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Dr. Jonathan Isak Siverson, DDS
General Practice Dentistry in White Bear Lake, Minnesota
NPI 1205030491

Jonathan Isak Siverson is a General Practice Dentistry based in Saint Paul, MN and is specialized in General Practice. Jonathan Isak Siverson practices in White Bear Lake, MN and has the professional credentials of DDS. The NPI Number for Jonathan Isak Siverson is 1205030491 and holds a License No. D12410 (Minnesota).

The current practice location address for Jonathan Isak Siverson is 4700 White Bear Pkwy, White Bear Lake, MN and can be reached out via phone at 651-762-7677 and via fax at 651-762-1861.

Location: 4700 White Bear Pkwy, White Bear Lake, MN, 55116-1632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205030491
Provider Name
Jonathan Isak Siverson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4700 White Bear Pkwy, White Bear Lake, MN, 55116-1632
Phone Number
651-762-7677
Fax Number
651-762-1861
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4700 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3336
Phone Number
651-762-7677
Fax Number
651-762-1861
person
Provider Business Mailing Address Details
Address
4700 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3336
Phone Number
651-762-7677
Fax Number
651-762-1861
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D12410 (Minnesota)
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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