Individual
DR. TIMOTHY J. ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 N CHURCH ST # A, SUITE 110, HAZLETON, PA 18202-1453
(570) 455-2227
(570) 455-0227
Mailing address
1201 N CHURCH ST # A, SUITE 110, HAZLETON, PA 18202-1453
(570) 455-2227
(570) 455-0227
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS023943L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001135703
—
PA
Enumeration date
02/15/2006
Last updated
10/07/2008
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