Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Isak Siverson, DDS

Individual provider General Practice Dentistry · NPI 1205030491

Dr. Jonathan Isak Siverson, DDS is a General Practice Dentistry in White Bear Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4700 White Bear Pkwy
White Bear Lake, MN 55110-3336
Phone: (651) 762-7677
Fax: (651) 762-1861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12410 (MN)

Record details

NPI number1205030491
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 12, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1291 Niles Ave, Saint Paul, MN 55116-1632

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