Timothy James Bouressa in Kimberly - General Practice
Timothy James Bouressa - NPI 1922296466
Timothy James Bouressa is a General Practice in Kimberly, Wisconsin. Timothy James Bouressa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy James Bouressa is 1922296466. The last update date is 2007-10-10.
Timothy James Bouressa's current location address is 500 W 3rd St, Kimberly, Wisconsin. You can contact this provider via phone number 9207884201. The mailing address for Timothy James Bouressa is 500 W 3rd St, Kimberly, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy James Bouressa |
|---|---|
| Address | 500 W 3rd St, Kimberly, Wisconsin |
| Phone Number | 9207884201 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1922296466 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 500 W 3rd St |
|---|---|
| City | Kimberly |
| State | Wisconsin (WI) |
| Post Code | 541361305 |
| Phone Number | 9207884201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3929 |
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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. |
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What is the unique identification code assigned to Timothy James Bouressa by the Centers for Medicare & Medicaid Services?
The Timothy James Bouressa has been issued the NPI (National Provider Identifier) 1922296466. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Timothy James Bouressa is geographically located?
The Timothy James Bouressa is physically situated at the following location: 500 W 3Rd St, Kimberly, WI, 541361305.
What is Timothy James Bouressa'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 James Bouressa is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1922296466 assigned to Timothy James Bouressa?
The Timothy James Bouressa was issued its 1922296466 on 2007-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Timothy James Bouressa most recently updated or revised?
The information pertaining to Timothy James Bouressa, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-10.
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