Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN ISAK SIVERSON, D.D.S.
Active Sole ProprietorDR. JONATHAN ISAK SIVERSON, D.D.S. is a General Dentistry healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1205030491 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1205030491
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2007 (19.18671051111 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D12410 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4700 WHITE BEAR PKWYWHITE BEAR LAKE, MN, 551103336Browse MN providers · Browse ZIP 55110
- Phone
- 6517627677
- Fax
- 6517621861
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD D FLETCHER | D.D.S. | 1679525182 |
| DR. JOY M JOHNSON | D.D.S. | 1831138114 |
| DR. CHARLES FRANCIS KAMINSKI JR. | DDS | 1073525184 |
| DR. STEPHEN WILLIAM JAKSA | D.D.S | 1225146855 |
| DR. BRUCE L NEUBAUER | DDS | 1770692386 |
| DR. THOMAS E GRZESKOWIAK | DDS | 1053422808 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.