Daniel Walter Iverson, D.D.S.
Individual provider Active NPI General Practice Dentistry · Two Harbors, MN
NPI 1104990902 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104990902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8592 (MN)
- Practice address
- 510 1St Ave
Two Harbors, MN 55616-1504 - Phone
- (218) 834-2011
- Fax
- (218) 834-6028
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Harbors Family Dental, PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8592 | MN | Yes |
Addresses
Primary practice location
510 1St Ave
Two Harbors, MN 55616-1504
Mailing address
510 1St Ave
P.O. Box 59
Two Harbors, MN 55616-1504
Phone (218) 834-2011
Other providers in Two Harbors, MN
- Alyssa J Hastings
- Healing Collective
- Sharon Ann Hellman
- Lucas Thor Henningsen
- Nicole Anne Humes
- Elaine Mae Jackson
- Alexis Nicole Jacobson
- Jane Wolf Speech and Feeding Therapy LLC
- John W. Pepelnjak Chiropractic Clinic, Inc.
- Mary Lou Johnson
All providers in Two Harbors, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.