Individual
DR. MICHAEL T TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4781 STATE ROUTE71, OSWEGO, IL 60543
(630) 554-5157
(630) 554-5487
Mailing address
4781 STATE ROUTE 71, OSWEGO, IL 60543
(630) 554-5157
(630) 554-5487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01914998
IL
Other
Enumeration date
10/12/2006
Last updated
07/12/2013
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