Jonathan I. Siverson, D.D.S.
General Dentistry · White Bear Lake, MN
UnclaimedD.D.S.NPI 1205030491
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2007-06-12
- Practice location
- White Bear Lake, MN
- Last NPPES update
- 2007-07-08
State licenses
- MN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.