Provider Demographics
NPI:1902945348
Name:THOMAS G.WEHRMEISTER, DDS, PC
Entity Type:Organization
Organization Name:THOMAS G.WEHRMEISTER, DDS, PC
Other - Org Name:BAXTER DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:WEHRMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:636-227-9666
Mailing Address - Street 1:133 BAXTER SHOPS
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63011-3800
Mailing Address - Country:US
Mailing Address - Phone:636-227-9666
Mailing Address - Fax:636-227-1159
Practice Address - Street 1:133 BAXTER SHOPS
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011-3800
Practice Address - Country:US
Practice Address - Phone:636-227-9666
Practice Address - Fax:636-227-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty