Dr. Jason Michael Bjerketvedt, D.D.S.
Dentist in Sauk Centre, MN. Individual provider (NPI-1).
NPI number1861691271
StatusActive
Last updated in NPPESJan 31, 2014
Details
- NPI
- 1861691271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Michael Bjerketvedt
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2007
- Last updated
- Jan 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D12406 | MN | Yes |
Practice location
334 Main St SSauk Centre, MN 56378-1349
Phone 320-352-4141
Mailing address
334 Main St SSauk Centre, MN 56378-1349
Phone 320-352-4141
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