Timothy Ivan Mcconnell in Goose Creek - General Practice

Timothy Ivan Mcconnell - NPI 1235187501

Timothy Ivan Mcconnell is a General Practice in Goose Creek, South Carolina. Timothy Ivan Mcconnell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy Ivan Mcconnell is 1235187501. The last update date is 2007-07-08.

Timothy Ivan Mcconnell's current location address is Po Box 1120, Goose Creek, South Carolina. You can contact this provider via phone number 8435535235 and fax number 8437978189. The mailing address for Timothy Ivan Mcconnell is Po Box 1120, Goose Creek, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Ivan Mcconnell
Address Po Box 1120, Goose Creek, South Carolina
Phone Number 8435535235
Fax Number 8437978189
Sole Proprietor X
Credentials D.M.D.

NPI Number Detail

NPI Number 1235187501
Provider Enumeration Date 2006-05-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1120
City Goose Creek
State South Carolina (SC)
Post Code 294451120
Phone Number 8435535235
Fax Number 8437978189

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1759
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
Z17599 SC --
79343 SC UNITED CONCORDIA INSURANC

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FAQs about Timothy Ivan Mcconnell

What is the unique identification code assigned to Timothy Ivan Mcconnell by the Centers for Medicare & Medicaid Services?

The Timothy Ivan Mcconnell has been issued the NPI (National Provider Identifier) 1235187501. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Timothy Ivan Mcconnell is located?

The Timothy Ivan Mcconnell is situated at the following address: Po Box 1120, Goose Creek, SC, 294451120.

What is Timothy Ivan Mcconnell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Timothy Ivan Mcconnell is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1235187501 to Timothy Ivan Mcconnell?

The Timothy Ivan Mcconnell received its 1235187501 assignment from the Centers for Medicare & Medicaid Services on 2006-05-05.

As of what date was the information pertaining to Timothy Ivan Mcconnell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Timothy Ivan Mcconnell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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