Organization
TIMOTHY J LENAGHAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J LENAGHAN DDS (OWNER)
(712) 482-3316
Entity
Organization
Contact information
Practice address
320 OAKLAND AVE, OAKLAND, IA 51560-4078
(712) 482-3316
Mailing address
PO BOX 547, OAKLAND, IA 51560-0547
(712) 482-3316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06448
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161687
—
IA
Enumeration date
11/16/2005
Last updated
08/22/2020
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