Individual
DR. TIMOTHY ERVIN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 CAMPUS DRIVE, STE 100, ABINGDON, VA 24210
(276) 619-5020
(276) 619-5100
Mailing address
PO BOX 2346, ABINGDON, VA 24212-2346
(276) 608-8608
(276) 619-5100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008200041
—
VA
01
—
1321074
UNITED CONCORDIA
—
01
—
267057
BCBS ANTHEM
—
Enumeration date
07/27/2006
Last updated
12/26/2019
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