Verwest, Tim M
Verwest, Tim M is an individual health care provider with primary practice located at 9371 Cypress Lake Dr Suite7, Fort Myers FL 33919-4939. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Verwest, Tim M can be contacted via phone (239) 482-2722.Contact Information
Primary practice address
9371 Cypress Lake Dr Suite7
Fort Myers FL 33919-4939
Phone: (239) 482-2722
Fax: (239) 482-7877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 12089 | Florida |
Profile Details
| NPI number | 1013981620 |
|---|---|
| LBN Legal business name | Verwest, Tim M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 26th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013981620 | NPPES |
| Florida | MEDICAID | 073699601 | |
| Florida | MEDICAID | 073699600 |
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