Opsahl, Thomas L.

Opsahl, Thomas L. is an individual health care provider with primary practice located at 4 General Wing Rd , Rutland VT 05701-4682. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Opsahl, Thomas L. can be contacted via phone (802) 775-0819.

Contact Information

Primary practice address
4 General Wing Rd Rutland VT 05701-4682
Phone: (802) 775-0819
Fax: (802) 775-1487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 871 Vermont

Profile Details

NPI number 1043230899
LBN Legal business name Opsahl, Thomas L.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 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 1043230899 NPPES
Vermont MEDICAID 1000354

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