Peter Todd Mathison, D.D.S.

Dentist · Fargo, ND

Individual Active NPI

NPI number 1104912609

Practice location

1351 Page Drive South
Suite 102
Fargo, ND 58103-3536
Phone
(701) 478-4500
Fax
(701) 478-4501

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NPI record

NPI
1104912609
Entity type
Individual (Type 1)
Enumeration date
October 4, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 1933 ND

About Dr. Mathison

Peter Todd Mathison, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1351 Page Drive South, Suite 102, Fargo, ND 58103-3536. The NPI number 1104912609 was assigned on October 4, 2006 and the record was last updated on July 8, 2007.

Dr. Mathison lists a license in the registry: #1933 (ND) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Todd Mathison, D.D.S.?

The NPI number is 1104912609.

What is the phone number of Dr. Mathison?

The phone number listed for the practice location is (701) 478-4500.

Where is Dr. Mathison located?

1351 Page Drive South, Suite 102, Fargo, ND 58103-3536.

What is the taxonomy code for Dr. Mathison?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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