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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROME WAYNE PEDERSEN, DDS

Active

JEROME WAYNE PEDERSEN, DDS is a Dentist healthcare provider located in HIBBING, Minnesota. NPI 1225126063 is currently active in the NPPES registry. Verify at CMS.

Dentist · HIBBING, MN

Registration Details

NPI Number
1225126063
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2006 (19.669428006347 yrs)
Last Updated
Aug 20, 2007
License
D8426 (MN)

Practice Information

Address
1515 E 25TH ST
C-153 HIBBING COMMUNITY COLLEGE
HIBBING, MN, 557463354
Browse MN providers · Browse ZIP 55746
Phone
2182632918
Primary Specialty
Dentist
122300000X

Other Dentist Providers in HIBBING, MN

Name Credential NPI
DR. JOHN DAVID MIETTUNEN DDS 1083703995
DR. MATT ANZELC 1013281377
MRS. CLARISSA MARY SPARKMAN D.M.D 1689937526
DR. DAVID J STONEBURNER DMD 1558737676
DR. JEANELLE STONEBURNER DMD 1164899068
BREKKE LEE JOHNSRUD DDS, MPH 1922594753
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.