Jerome Wayne Pedersen, DDS

Dentist · Hibbing, MN

Individual Active NPI

NPI number 1225126063

Practice location

1515 E 25TH St
C-153 Hibbing Community College
Hibbing, MN 55746-3354
Phone
(218) 263-2918

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NPI record

NPI
1225126063
Entity type
Individual (Type 1)
Enumeration date
October 10, 2006
Last updated
August 20, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D8426 MN

Mailing address

1515 E 25TH St
Room C-153
Hibbing, MN 55746-3354

About Dr. Pedersen

Jerome Wayne Pedersen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1515 E 25TH St, C-153 Hibbing Community College, Hibbing, MN 55746-3354. The NPI number 1225126063 was assigned on October 10, 2006 and the record was last updated on August 20, 2007.

Dr. Pedersen lists a license in the registry: #D8426 (MN) 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 Jerome Wayne Pedersen, DDS?

The NPI number is 1225126063.

What is the phone number of Dr. Pedersen?

The phone number listed for the practice location is (218) 263-2918.

Where is Dr. Pedersen located?

1515 E 25TH St, C-153 Hibbing Community College, Hibbing, MN 55746-3354.

What is the taxonomy code for Dr. Pedersen?

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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