Timothy Otto Hart in Shorewood - Prosthodontics
Timothy Otto Hart - NPI 1134275597
Timothy Otto Hart is a Prosthodontics in Shorewood, Wisconsin. Timothy Otto Hart practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Timothy Otto Hart is 1134275597. The last update date is 2007-07-08.
Timothy Otto Hart's current location address is 1720 E Lake Bluff Blvd, Shorewood, Wisconsin. You can contact this provider via phone number 4149621800 and fax number 4149622302. The mailing address for Timothy Otto Hart is 1720 E Lake Bluff Blvd, Shorewood, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Otto Hart |
|---|---|
| Address | 1720 E Lake Bluff Blvd, Shorewood, Wisconsin |
| Phone Number | 4149621800 |
| Fax Number | 4149622302 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1134275597 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1720 E Lake Bluff Blvd |
|---|---|
| City | Shorewood |
| State | Wisconsin (WI) |
| Post Code | 532111517 |
| Phone Number | 4149621800 |
| Fax Number | 4149622302 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 1896G |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy Otto Hart by the Centers for Medicare & Medicaid Services?
The Timothy Otto Hart has been assigned the NPI (National Provider Identifier) 1134275597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Timothy Otto Hart?
The Timothy Otto Hart is physically situated at 1720 E Lake Bluff Blvd, in the city of Shorewood, state of WI, with the postal code 532111517.
What is Timothy Otto Hart's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Otto Hart is Prosthodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0700X.
On what date was the 1134275597 assigned to Timothy Otto Hart?
The Timothy Otto Hart was issued its 1134275597 on 2007-01-26, 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 pertaining to Timothy Otto Hart last refreshed?
The information related to the Timothy Otto Hart, including its address, specialty, and other relevant details, was last updated on 2007-07-08.