Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS A KOLODGE, DDS, MD
Active Sole ProprietorDR. THOMAS A KOLODGE, DDS, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in MCMINNVILLE, Oregon. NPI 1639299100 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · MCMINNVILLE, OR
Registration Details
- NPI Number
- 1639299100
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2007 (19.33298700007 yrs)
- Last Updated
- Aug 12, 2016
- Licenses
-
D9272 (OR)MD126317 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1046 NE 3RD STMCMINNVILLE, OR, 971284418Browse OR providers · Browse ZIP 97128
- Phone
- 5034721468
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.