Individual
DR. TIMOTHY FILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5601 NE ANTIOCH RD, SUITE 5, GLADSTONE, MO 64119-2300
(816) 455-1200
Mailing address
15202 S BLACKFOOT DR, OLATHE, KS 66062-3016
(913) 226-0921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014016801
MO
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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