Kolodge, Thomas A

Kolodge, Thomas A is an sole proprietor health care provider with primary practice located at 1046 Ne 3Rd St , Mcminnville OR 97128-4418. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Kolodge, Thomas A can be contacted via phone (503) 472-1468.

Contact Information

Primary practice address
1046 Ne 3Rd St Mcminnville OR 97128-4418
Phone: (503) 472-1468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9272 Oregon
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD126317 Oregon

Profile Details

NPI number 1639299100
LBN Legal business name Kolodge, Thomas A
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Aug 12th, 2016 - about 9 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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