Individual
DR. TIMOTHY IVAN MCCONNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 BERKELEY SQUARE LN, GOOSE CREEK, SC 29445-2958
(843) 553-5235
(843) 797-8189
Mailing address
PO BOX 1120, GOOSE CREEK, SC 29445-1120
(843) 553-5235
(843) 797-8189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79343
UNITED CONCORDIA INSURANC
SC
05
—
Z17599
—
SC
Enumeration date
05/05/2006
Last updated
07/08/2007
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