Individual
DR. JOHN TIMOTHY TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 EVERHART RD, SUITE B-11, CORPUS CHRISTI, TX 78411-1926
(361) 854-5181
(361) 854-0741
Mailing address
700 EVERHART RD, SUITE B-11, CORPUS CHRISTI, TX 78411-1926
(361) 854-5181
(361) 854-0741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802764
UNITED CONCORDIA
TX
Enumeration date
08/03/2006
Last updated
07/08/2007
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