Individual
DR. TIMOTHY D WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1001 GIBSON BAY DRIVE, SUITE 202, RICHMOND, KY 40475
(859) 625-0204
(859) 625-5223
Mailing address
403 HACKETT PIKE, RICHMOND, KY 40475-9386
(859) 624-0419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6239
KY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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