Provider Demographics
NPI:1194005116
Name:AIMEE T. WERREMEYER, DMD, PLLC
Entity Type:Organization
Organization Name:AIMEE T. WERREMEYER, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST, BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:TERESE
Authorized Official - Last Name:WERREMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-752-1600
Mailing Address - Street 1:3600 GUIDE MERIDIAN STE 120
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1756
Mailing Address - Country:US
Mailing Address - Phone:360-752-1600
Mailing Address - Fax:360-752-1635
Practice Address - Street 1:3600 GUIDE MERIDIAN STE 120
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1756
Practice Address - Country:US
Practice Address - Phone:360-752-1600
Practice Address - Fax:360-752-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000111371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty