PAUL H IVERSON DDS NPI 1467487298

NPI Information

NPI: 1467487298
Provider Name: PAUL H IVERSON, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
Get Directions

Paul H Iverson, DDS is an oral and maxillofacial surgery dentist in Fargo, ND. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Paul H Iverson, DDS NPI is 1467487298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300
Fax: (701) 364-8906

The enumeration date for this NPI number is 7/11/2006 and was last updated on 9/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	1404	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ND200029	OTHER	NORTH DAKOTA	LHS #
2	40626	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICAID DENTAL #
3	91802IV	OTHER	NORTH DAKOTA	MNBS #
4	8600256	OTHER	NORTH DAKOTA	MEDICA #
5	115958	OTHER	NORTH DAKOTA	UCARE#
6	DA9011015544	OTHER	NORTH DAKOTA	PREFERRED ONE #
7	1120	OTHER	NORTH DAKOTA	NDBS #
8	1120	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
9	676709	OTHER	NORTH DAKOTA	AMERICA'S PPO/ARAZ #
10	8600235	OTHER	NORTH DAKOTA	MEDICA #
11	190005862	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RR MEDICARE #
12	17824	MEDICAID	NORTH DAKOTA
13	274817700	MEDICAID	NORTH DAKOTA
14	HP38639	OTHER	NORTH DAKOTA	HEALTHPARTNERS #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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