Ivan H. Wolthuis is a Dentist in Sweet Home, Oregon. Ivan H. Wolthuis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ivan H. Wolthuis is 1780675090. The last update date is 2007-07-08.
Ivan H. Wolthuis's current location address is 1524 Long St, Sweet Home, Oregon. You can contact this provider via phone number 5413672931 and fax number 5413672935. The mailing address for Ivan H. Wolthuis is 1524 Long St, Sweet Home, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan H. Wolthuis |
|---|---|
| Address | 1524 Long St, Sweet Home, Oregon |
| Phone Number | 5413672931 |
| Fax Number | 5413672935 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1780675090 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1524 Long St |
|---|---|
| City | Sweet Home |
| State | Oregon (OR) |
| Post Code | 973862313 |
| Phone Number | 5413672931 |
| Fax Number | 5413672935 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D7611 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 233348 | OR | OMAP IDENTIFIER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ivan H. Wolthuis?
The Ivan H. Wolthuis has been issued the NPI (National Provider Identifier) 1780675090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ivan H. Wolthuis?
The Ivan H. Wolthuis is physically situated at 1524 Long St, in the city of Sweet Home, state of OR, with the postal code 973862313.
What is Ivan H. Wolthuis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ivan H. Wolthuis is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Ivan H. Wolthuis receive its 1780675090 assignment from the Centers for Medicare & Medicaid Services?
The Ivan H. Wolthuis was assigned its 1780675090 by the Centers for Medicare & Medicaid Services on 2005-11-04.
As of what date were the Ivan H. Wolthuis's details last updated?
The information pertaining to the Ivan H. Wolthuis, including its address, specialty, and other details, was most recently updated on 2007-07-08.