Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TIMOTHY TIEN DDS PC
Active
Organization
TIMOTHY TIEN DDS PC
Active
Other names
Boulevard Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY QUOC TIEN DDS (CEO)
(619) 584-8975
Entity
Organization
Contact information
Practice address
3531 EL CAJON BLVD, SUITE A, SAN DIEGO, CA 92104-1512
(619) 584-8975
(619) 584-0682
Mailing address
3531 EL CAJON BLVD, SUITE A, SAN DIEGO, CA 92104-1512
(619) 584-8975
(619) 584-0682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57926
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825739
ARIZONA AHCCCS ID#
AZ
Enumeration date
01/06/2011
Last updated
01/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up