Individual
DR. DOUG VANHOFWEGEN
Active
Individual
DR. DOUG VANHOFWEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06892
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048207
—
IA
01
—
06892
BC/BS OF NJ
NJ
01
—
26119
BC/BS OF IA
IA
01
—
3144570
BC/BS OF TN
TN
01
—
413707
BC/BS OF KS
KS
01
—
849044
UNITED CONCORDIA
PA
Enumeration date
11/03/2006
Last updated
07/08/2007
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