Nordtvedt, Thomas B

Nordtvedt, Thomas B is an individual health care provider with primary practice located at 1621 Tongass Ave Ste 103, Ketchikan AK 99901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nordtvedt, Thomas B can be contacted via phone (907) 225-8228.

Contact Information

Primary practice address
1621 Tongass Ave Ste 103 Ketchikan AK 99901
Phone: (907) 225-8228
Fax: (907) 225-8224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 378 Alaska

Profile Details

NPI number 1063593671
LBN Legal business name Nordtvedt, Thomas B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1063593671 NPPES
Alaska MEDICAID 000378

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