Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE JAMES MATHIASON, DDS
ActiveDR. BRUCE JAMES MATHIASON, DDS is a General Dentistry healthcare provider located in WALNUT GROVE, Minnesota. NPI 1366405722 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WALNUT GROVE, MN
Registration Details
- NPI Number
- 1366405722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2006 (20.381470731577 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D8569 (MN)
Practice Information
- Address
-
400 7TH STWALNUT GROVE, MN, 561809203Browse MN providers · Browse ZIP 56180
- Phone
- 5078592179
- Fax
- 5078592178
- Primary Specialty
-
General Dentistry
1223G0001X
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.