Timothy J Koob in Madison - Oral And Maxillofacial Surgery
Timothy J Koob - NPI 1538104088
Timothy J Koob is a Oral And Maxillofacial Surgery in Madison, Wisconsin. Timothy J Koob practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Timothy J Koob is 1538104088. The last update date is 2007-07-09.
Timothy J Koob's current location address is 5801 Research Park Blvd, Madison, Wisconsin. You can contact this provider via phone number 6082740770 and fax number 6082749224. The mailing address for Timothy J Koob is 5801 Research Park Blvd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy J Koob |
|---|---|
| Address | 5801 Research Park Blvd, Madison, Wisconsin |
| Phone Number | 6082740770 |
| Fax Number | 6082749224 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1538104088 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5801 Research Park Blvd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537196002 |
| Phone Number | 6082740770 |
| Fax Number | 6082749224 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5109 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12127 | WI | DEAN HEALTH PLAN | |
| 33754500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy J Koob by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy J Koob has been assigned the NPI (National Provider Identifier) 1538104088. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Timothy J Koob is physically located?
The Timothy J Koob is physically situated at the following address: 5801 Research Park Blvd, Madison, WI, 537196002.
What is Timothy J Koob's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy J Koob's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1538104088 to Timothy J Koob?
The Centers for Medicare & Medicaid Services assigned the 1538104088 to Timothy J Koob on 2006-06-18.
As of what date was the information pertaining to Timothy J Koob, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy J Koob, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX