Individual
DR. TIMOTHY JAY HOFTIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1610 GREYHOUND PASS, SUITE B, CARMEL, IN 46032-5027
(317) 705-5800
(317) 705-1958
Mailing address
1610 GREYHOUND PASS, SUITE B, CARMEL, IN 46032-5027
(317) 705-5800
(317) 705-1958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009970
IN
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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