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NPI Code Detail

MEDICARE: DR. TREVOR T. VELTKAMP D.D.S.

MEDICARE:  DR. TREVOR T. VELTKAMP  D.D.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry00008986WA

General Provider Information

NPI Number : 1982709002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TREVOR T. VELTKAMP D.D.S.
Provider Business Mailing Address
First Line : 804 S PARK CT
Second Line :
City : LYNDEN
State : WA
Zip : 98264-9313
Country : US
Telephone Number : 360-354-3141
Fax Number :
Provider Business Practice Location Address
First Line : 3400 SQUALICUM PKWY STE 105
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1933
Country : US
Telephone Number : 360-676-2770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/25/2014

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Directions to “ DR. TREVOR T. VELTKAMP D.D.S.” Practice Location

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