Dr Thomas A Kolodge, DDS, MD is a
Oral & Maxillofacial Surgery based in Mcminnville, Oregon. Dr Thomas A Kolodge is licensed to practice in Oregon (license number MD126317) and his current practice location is
1046 Ne 3rd St, Mcminnville, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 472-1468.
NPI number for Dr Thomas A Kolodge is 1639299100 and his current mailing address is 1046 Ne 3rd St, Mcminnville, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639299100.
Healthcare Provider's Profile
Full Name | Dr Thomas A Kolodge |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 1046 Ne 3rd St, Mcminnville, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639299100
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 08/12/2016
Medical Identifiers
Medical identifiers for Dr Thomas A Kolodge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639299100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D9272 (Oregon) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | MD126317 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas A Kolodge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Thomas A Kolodge, DDS, MD 1046 Ne 3rd St, Mcminnville, OR 97128-4418 Ph: (503) 472-1468 | Dr Thomas A Kolodge, DDS, MD 1046 Ne 3rd St, Mcminnville, OR 97128-4418 Ph: (503) 472-1468 |
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