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Contact Information

THOMAS L WALTEMATE, DDS
403 S CHARLES
STEELEVILLE, IL62288
 Phone: 618-965-9213
 Fax: 618-965-9213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for THOMAS L WALTEMATE · (Male)

NPI # 1245418342
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/31/2008
Last updated 01/31/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 19A14702
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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