| Thomas B. Nordtvedt, Dds, Apc | |
|
1621 Tongass Ave Suite 103 Ketchikan AK 99901-6013 | |
| (907) 225-8228 | |
| (907) 225-8224 |
| Full Name | Thomas B. Nordtvedt, Dds, Apc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1621 Tongass Ave, Ketchikan, Alaska |
| Authorized Official Name and Position | Thomas B. Nordtvedt (PRESIDENT) |
| Authorized Official Contact | 9072258228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas B. Nordtvedt, Dds, Apc 1621 Tongass Ave Suite 103 Ketchikan AK 99901-6013 Ph: (907) 225-8228 | Thomas B. Nordtvedt, Dds, Apc 1621 Tongass Ave Suite 103 Ketchikan AK 99901-6013 Ph: (907) 225-8228 |
| NPI Number | 1952482572 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952482572 | NPI | - | NPPES |
| DD0 378 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 378 (Alaska) | Primary |
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