PETER B. IVERSEN JR. DDS PLLC. NPI 1093376576

NPI Information

  • NPI: 1093376576
  • Provider Name: PETER B. IVERSEN JR., DDS, PLLC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: JUNCTION DENTAL
  • CLIA Number: 50D2300106
  • Address: 4700 42ND AVE SW STE 555
    SEATTLE, WA
    ZIP 98116
  • Phone: (206) 935-5522

Map and Directions

Get Directions

NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI