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Dr. Bruce James Mathiason, DDS
General Practice Dentistry in Walnut Grove, Minnesota
NPI 1366405722

Bruce James Mathiason is a General Practice Dentistry based in Walnut Grove, MN and is specialized in General Practice. Bruce James Mathiason practices in Walnut Grove, MN and has the professional credentials of DDS. The NPI Number for Bruce James Mathiason is 1366405722 and holds a License No. D8569 (Minnesota).

The current practice location address for Bruce James Mathiason is 400 7Th St, Walnut Grove, MN and can be reached out via phone at 507-859-2179 and via fax at 507-859-2178.

Location: 400 7Th St, Walnut Grove, MN, 56180-9203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366405722
Provider Name
Bruce James Mathiason
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
400 7Th St, Walnut Grove, MN, 56180-9203
Phone Number
507-859-2179
Fax Number
507-859-2178
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2420L8000 01 MN MEDICALASSISTANCE
institution
Provider Business Practice Location Address Details
Address
400 7Th St
City
Walnut Grove
State
Minnesota
Zip
56180-9203
Phone Number
507-859-2179
Fax Number
507-859-2178
person
Provider Business Mailing Address Details
Address
400 7Th St
City
Walnut Grove
State
Minnesota
Zip
56180-9203
Phone Number
507-859-2179
Fax Number
507-859-2178
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D8569 (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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