Organization
TIMOTHY SCHMAKEL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY RAYMOND SCHMAKEL D.D.S., M.D. (OWNER)
(248) 642-2115
Entity
Organization
Contact information
Practice address
31100 TELEGRAPH RD, SUITE 100, BINGHAM FARMS, MI 48025-4363
(248) 642-2115
(248) 642-6387
Mailing address
31100 TELEGRAPH RD, SUITE 100, BINGHAM FARMS, MI 48025-4363
(248) 642-2115
(248) 642-6387
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16953
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104370251
—
MI
05
—
124370251
—
MI
Enumeration date
11/06/2006
Last updated
12/31/2007
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