Individual
DR. TIMOTHY P. CADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 E DUNLAP AVE STE 23, PHOENIX, AZ 85020-2852
(602) 864-0264
Mailing address
10040 E HAPPY VALLEY RD UNIT 331, SCOTTSDALE, AZ 85255-2378
(419) 654-3109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D008931
DENTAL LICENSE
AZ
Enumeration date
01/11/2006
Last updated
06/26/2020
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