Dr. John Paul Iverson, DDS

Dentist, General Practice in Willmar, MN. Individual provider (NPI-1).

NPI number1508817586

StatusActive

Last updated in NPPESJul 13, 2026

Details

NPI: 1508817586
Entity type: Individual (NPI-1)
Name: Dr. John Paul Iverson
Credential: DDS
Sex: Male
Sole proprietor: No
Enumeration date: May 13, 2006
Last updated: Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - DENTIST
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	11050	MN	Yes

Practice location

509 16th Ave Sw
Willmar, MN 56201-4118

Phone 320-235-7742 · Fax 320-235-4045

Mailing address

509 16th Ave Sw
Willmar, MN 56201-4118

Phone 320-235-7742 · Fax 320-235-4045

Is something wrong?

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Other General Practice Dentistry providers in Willmar, MN

All 22 General Practice Dentistry providers in Willmar · All 1,000 providers in Willmar

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