Thomas William Treweek, DDS
Individual provider Active NPI Dentist · Athens, WI
NPI 1730397209 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730397209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2368 (WI)
- Practice address
- 317 Washington St.
Athens, WI 54411-0247 - Phone
- (715) 257-9278
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150520002100 | WI | Order and Referring Only - Other (Non-Physician) | 0244258010 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2368 | WI | Yes |
Addresses
Primary practice location
317 Washington St.
Athens, WI 54411-0247
Mailing address
PO Box 247
Athens, WI 54411-0247
Phone (715) 257-9278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2368 | Other | WI | DENTAL LICENSE NUMBER |
Other providers in Athens, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.