PETER B. IVERSEN JR. DDS PLLC. NPI 1093376576

NPI Information

PETER B. IVERSEN JR., DDS, PLLC. is a dental clinic center in Seattle, WA. PETER B. IVERSEN JR., DDS, PLLC. NPI is 1093376576. The provider is registered as an organization entity type.
The provider Is Doing Business As Junction Dental.

The provider's business location address is:

4700 42ND AVE SW STE 555
SEATTLE, WA
ZIP 98116-583
Phone: (206) 935-5522

The provider's authorized official is Peter B. Iversen .
The authorized official title is Owner and has the following contact phone number (206) 403-8651.

The CLIA number assigned to this NPI record is 50D2300106 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 10/30/2023.

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:

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