Dimich, Thomas Peter

Dimich, Thomas Peter is an individual health care provider with primary practice located at 310 Red Lake Blvd , Thief River Falls MN 56701-2133. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dimich, Thomas Peter can be contacted via phone (218) 681-2545.

Contact Information

Primary practice address
310 Red Lake Blvd Thief River Falls MN 56701-2133
Fax: (218) 681-2560
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7534 Minnesota

Profile Details

NPI number 1265481881
LBN Legal business name Dimich, Thomas Peter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265481881 NPPES
Minnesota Other 63233 DI BLUE CROSS BLUE SHIELD

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