# DANIEL G. TIMMS DDS & JEFFREY KOSLOW DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528110814
- **Authorized official:** JEFFREY KOSLOW D.M.D. (OWNER)
- **Authorized official phone:** (856) 845-1200

## Contact information

- **Practice address:** 1104 COOPER STREET, DEPTFORD, NJ 08096-3012
- **Practice address phone:** (856) 845-1200
- **Practice address fax:** (856) 384-8308
- **Mailing address:** 1104 COOPER STREET, DEPTFORD, NJ 08096-3012
- **Mailing address phone:** (856) 845-1200
- **Mailing address fax:** (856) 384-8308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10013 | NJ | — |
| 1223G0001X | General Practice Dentistry | 12612 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | 21261 | NJ | — |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 07/30/2008