Iverson, Paul H

Iverson, Paul H is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Iverson, Paul H can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1404 North Dakota

Profile Details

NPI number 1467487298
LBN Legal business name Iverson, Paul H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467487298 NPPES
North Dakota MEDICAID 17824
North Dakota Other 91802IV
North Dakota MEDICAID 274817700
North Dakota Other DA9011015544
North Dakota Other ND200029
North Dakota Other 1120
North Dakota Other 8600235
North Dakota Other HP38639
North Dakota Other 115958
North Dakota Other 676709
North Dakota Other 8600256

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