Timothy I. Dillivan in Muskegon - General Practice

Timothy I. Dillivan - NPI 1275614547

Timothy I. Dillivan is a General Practice in Muskegon, Michigan. Timothy I. Dillivan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy I. Dillivan is 1275614547. The last update date is 2007-07-08.

Timothy I. Dillivan's current location address is 3535 Park St Ste 102, Muskegon, Michigan. You can contact this provider via phone number 2317392152 and fax number 2317331472. The mailing address for Timothy I. Dillivan is 3535 Park St Ste 102, Muskegon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy I. Dillivan
Address 3535 Park St Ste 102, Muskegon, Michigan
Phone Number 2317392152
Fax Number 2317331472
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1275614547
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3535 Park St Ste 102
City Muskegon
State Michigan (MI)
Post Code 494443736
Phone Number 2317392152
Fax Number 2317331472

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13296
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4064347 MI --

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FAQs about Timothy I. Dillivan

What is the Timothy I. Dillivan's unique identification number?

The Timothy I. Dillivan has been assigned the NPI (National Provider Identifier) Number 1275614547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Timothy I. Dillivan is physically located?

The Timothy I. Dillivan is situated at the following address: 3535 Park St Ste 102, Muskegon, MI 494443736.

What is Timothy I. Dillivan's area of expertise and its corresponding taxonomy classification?

The Timothy I. Dillivan's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

When did Timothy I. Dillivan receive its 1275614547 assignment?

The Timothy I. Dillivan was assigned its 1275614547 on 2006-10-17, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Timothy I. Dillivan most recently updated or revised?

The information pertaining to Timothy I. Dillivan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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