# TIMOTHY S. KULIK D.D.S.,P.C.

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

## Provider details

- **NPI number:** 1568739332
- **Authorized official:** DR. TIMOTHY SIGMUND KULIK D.D.S. (OFFICER)
- **Authorized official phone:** (574) 288-1900

## Contact information

- **Practice address:** 211 N SAINT PETER ST, SOUTH BEND, IN 46617-2823
- **Practice address phone:** (574) 288-1900
- **Practice address fax:** (574) 288-3900
- **Mailing address:** 211 N SAINT PETER ST, SOUTH BEND, IN 46617-2823
- **Mailing address phone:** (574) 288-1900
- **Mailing address fax:** (574) 288-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12007358 | IN | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 11/22/2011