Individual
PAUL TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
306 S MAIN ST, KOUTS, IN 46347-0429
(219) 766-3693
Mailing address
PO BOX 429, 306 SOUTH MAIN STREET, KOUTS, IN 46347-0429
(219) 766-3693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008736
IN
Other
Enumeration date
11/15/2006
Last updated
07/09/2007
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