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Contact Information

WESLEY D WERMUTH, DDS
728 E WHITE MOUNTAIN BLVD SUITE D
PINETOP, AZ85935
 Phone: 928-367-5111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for WESLEY D WERMUTH · (Male)

NPI # 1619386216
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/07/2014
Last updated 07/16/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # D012371
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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