# TIMOTHY J. MCMAHON, D.M.D, PSC, DBA COMFORT DENTISTRY

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

## Provider details

- **NPI number:** 1861778706
- **Authorized official:** TIMOTHY J MCMAHON DMD (OWNER)
- **Authorized official phone:** (859) 823-0111

## Contact information

- **Practice address:** 300 ARBOR DR STE 5, DRY RIDGE, KY 41035-9489
- **Practice address phone:** (859) 823-0111
- **Practice address fax:** (859) 823-9111
- **Mailing address:** 300 ARBOR DR STE 5, DRY RIDGE, KY 41035-9489
- **Mailing address phone:** (859) 823-0111
- **Mailing address fax:** (859) 823-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4988 | KY | Yes |

## Other

- **Enumeration date:** 10/24/2011
- **Last updated:** 10/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60049889 | — | KY |