Dr Bruce James Mathiason, DDS is a
Dentist - General Practice based in Walnut Grove, Minnesota. Dr Bruce James Mathiason is licensed to practice in Minnesota (license number D8569) and his current practice location is
400 7th St, Walnut Grove, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 859-2179.
NPI number for Dr Bruce James Mathiason is 1366405722 and his current mailing address is 400 7th St, Walnut Grove, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366405722.
Healthcare Provider's Profile
| Full Name | Dr Bruce James Mathiason |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 400 7th St, Walnut Grove, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366405722
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 07/13/2026
Medical Identifiers
Medical identifiers for Dr Bruce James Mathiason such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366405722 | NPI | - | NPPES |
| 2420L8000 | Other | MN | MEDICALASSISTANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | D8569 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce James Mathiason is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Bruce James Mathiason, DDS 400 7th St, Walnut Grove, MN 56180-9203 Ph: (507) 859-2179 | Dr Bruce James Mathiason, DDS 400 7th St, Walnut Grove, MN 56180-9203 Ph: (507) 859-2179 |
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