npidexNPI registry + Medicare data

THOMAS KOLODGE, DDS, MD

Oral & Maxillofacial Surgery (D.M.D.) · MCMINNVILLE, OR

Individual Active Opted out of Medicare NPI 1639299100

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X✓MD126317OR
Oral and Maxillofacial Surgery (Dentist)1223S0112XD9272OR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2019-04-23 through 2027-04-23.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Oregon

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.