DR. THOMAS B NORDTVEDT DDS
NPI 1063593671
Dentist - General Practice in Ketchikan, AK

Active since October 18, 2006
1621 TONGASS AVE, STE 103, KETCHIKAN, AK 99901(907) 225-8228(907) 225-8224 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Thomas B Nordtvedt Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS B NORDTVEDT DDS (NPI 1063593671) is an individual general practice provider in Ketchikan, Alaska, licensed in Alaska (378) and active in the NPI registry since October 2006.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1063593671
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS B NORDTVEDTCredential: DDS
Location Address1621 TONGASS AVE, STE 103Ketchikan, AK 99901
Mailing Address1621 Tongass Ave, Ste 103Ketchikan, AK 99901 · (907) 225-8228 · Fax (907) 225-8224
Fax(907) 225-8224
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063593671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AK · 378
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1621 TONGASS AVE, Ketchikan, AK 99901

Other Identifiers 1

Medicaid000378AK

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
1621 TONGASS AVE, SUITE 304
KETCHIKAN, AK 99901
Dentist
1621 TONGASS AVE, SUITE 103
KETCHIKAN, AK 99901
Dentist (General Practice)
1621 TONGASS AVE, SUITE 103
KETCHIKAN, AK 99901
Dentist (General Practice)
1621 TONGASS AVE, SUITE 103
KETCHIKAN, AK 99901
Community/Behavioral Health
1621 TONGASS AVE, STE. 207
KETCHIKAN, AK 99901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063593671, enumerated as an "individual" on October 18, 2006.

The provider is located at 1621 TONGASS AVE STE 103 KETCHIKAN, AK 99901 and the phone number is (907) 225-8228.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.