Provider Type Icon

MICHAEL T. PEDERSON DDS NPI 1487675005


NPI Information

NPI: 1487675005
Provider Name: MICHAEL T. PEDERSON, DDS

Other Name: STEVEN E. BILBEN, DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
108 MICHIGAN AVENUE WEST
WALKER, MN
ZIP 56484
Phone: (218) 547-1851
Get Directions

MICHAEL T. PEDERSON, DDS is a general practice dentist in Walker, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MICHAEL T. PEDERSON, DDS NPI is 1487675005. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Steven E. Bilben, Dds.

The provider's business location address is:

108 MICHIGAN AVENUE WEST
WALKER, MN
ZIP 56484
Phone: (218) 547-1851
Fax: (218) 547-2261

The provider's authorized official is Kathryn Denise Barker .
The authorized official title is Office Manager and has the following contact phone number (218) 547-1851.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.