DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. IVAN H. WOLTHUIS DMD

MEDICARE:  DR. IVAN H. WOLTHUIS  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD7611OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1233348OTHEROROMAP IDENTIFIER

General Provider Information

NPI Number : 1780675090
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IVAN H. WOLTHUIS DMD
Provider Business Mailing Address
First Line : 1524 LONG ST
Second Line :
City : SWEET HOME
State : OR
Zip : 97386-2313
Country : US
Telephone Number : 541-367-2931
Fax Number : 541-367-2935
Provider Business Practice Location Address
First Line : 1524 LONG ST
Second Line :
City : SWEET HOME
State : OR
Zip : 97386-2313
Country : US
Telephone Number : 541-367-2931
Fax Number : 541-367-2935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1477614113 — DR. HENRY B. WOTHUIS D.D.S.
Practice Location Address:
1524 LONG ST
SWEET HOME, OR
97386-2313
Practice Phone: 541-367-2931
Practice Fax: 541-367-2935
1457666166 — DR. KYLE W DIMOND DDS
Practice Location Address:
1524 LONG ST
SWEET HOME, OR
97386-2313
Practice Phone: 541-367-2931
Practice Fax:
1194875286 — ALL MEDICARE HOME AIDS, INC.
Practice Location Address:
3400 SW 26TH TER , SUITE A-2
FORT LAUDERDALE, FL
33312-5068
Practice Phone: 954-791-2400
Practice Fax: 954-583-5977
1508035973 — MEDICARE HOME CARE
Practice Location Address:
8441 WAYZATA BLVD , SUITE 130
GOLDEN VALLEY, MN
55426-1344
Practice Phone: 763-546-1000
Practice Fax: 763-546-1018
1750952818 — VIERGELA PIERRE CNA
Practice Location Address:
2313 HOME AGAIN RD
APOPKA, FL
32712-6458
Practice Phone: 321-424-4183
Practice Fax:
1699449231 — VIEGI TRANSPORTATION, LLC
Practice Location Address:
2313 HOME AGAIN RD
APOPKA, FL
32712-6458
Practice Phone: 321-424-4183
Practice Fax:

Directions to “ DR. IVAN H. WOLTHUIS DMD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.