Individual
DR. TIMOTHY J DEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1116 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6178
(812) 332-2204
Mailing address
1116 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6178
(812) 332-2204
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010652A
IN
Other
Enumeration date
05/18/2006
Last updated
05/07/2019
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