Individual
DR. TIMOTHY ANDREW NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8035 CRANE CV APT 201, FORT WAYNE, IN 46804-0037
(317) 809-3780
Mailing address
8035 CRANE CV APT 201, FORT WAYNE, IN 46804-0037
(317) 809-3780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013816A
IN
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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