NPI 1194018564 MS. TERESA J WAITE LD RIDGEFIELD WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ms. Teresa J Waite - NPI: 1194018564

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. TERESA J WAITE
NPI Number: 1194018564
Entity Type Code: Individual (1)
Gender: F
Credentials: LD
License Number: DT-DO-10137920
Business Practice Address: 21505 Main Ave N
Suite B Tillamook, OR - 97141
Business Phone Number: 5033542159
Business Fax Number:
Mailing Address: Po Box 382, Po Box 382
RIDGEFIELD
State: WA
Postal Code: 986420382
Phone Number: 3602413508
Fax Number:
NPI Enumeration Date: 05/18/2011
NPI Last Update Date: 05/18/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 122400000X
License Number: DT-DO-10137920
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OR
Taxonomy Type: Dental Providers
Taxonomy Classification: Denturist
Taxonomy Specialization:
Taxonomy Definition:


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