Individual
DR. WILLIAM WALTER IVERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1103 S SHIELDS, FORT COLLINS, CO 80521
(970) 484-3214
(970) 484-4007
Mailing address
1103 S SHIELDS, FORT COLLINS, CO 80521
(970) 484-3214
(970) 484-4007
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104735
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87457563
—
CO
Enumeration date
05/03/2006
Last updated
05/03/2026
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