Westfall, Thomas Wayne

Westfall, Thomas Wayne is an individual health care provider with primary practice located at 94223 4Th St , Gold Beach OR 97444. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Westfall, Thomas Wayne can be contacted via phone (541) 247-7332.

Contact Information

Primary practice address
94223 4Th St Gold Beach OR 97444
Phone: (541) 247-7332
Fax: (541) 247-9204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4990 Oregon

Profile Details

NPI number 1639356512
LBN Legal business name Westfall, Thomas Wayne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Jan 23rd, 2008 - about 16 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 1639356512 NPPES
Oregon MEDICAID 215277

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