Jerome Wayne Pedersen, DDS

NPI #1225126063 in Hibbing, Minnesota

Provider Information

NPI Number: 1225126063
Entity Type: Individual
Name: Jerome Wayne Pedersen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 10, 2006
Last Updated: Aug 20, 2007

Practice Location

Address: 1515 E 25TH ST
Address 2: C-153 HIBBING COMMUNITY COLLEGE
City: Hibbing
State: Minnesota
ZIP Code: 55746-3354
Phone: (218) 263-2918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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