Thomas E. Westbrook Jr., dr.
Dentist, General Practice in Blytheville, AR. Individual provider (NPI-1).
NPI number1811022692
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1811022692
- Entity type
- Individual (NPI-1)
- Name
- Thomas E. Westbrook Jr.
- Credential
- dr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | AR2415 | AR | Yes |
Practice location
507 Hutson StBlytheville, AR 72315-2415
Phone 870-762-5274 · Fax 870-762-5280
Mailing address
507 Hutson StBlytheville, AR 72315-2415
Phone 870-762-5274 · Fax 870-762-5280
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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