Individual
ADAM MCCARTHY TIMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3600 MITCHELL DR, SUITE 40, FORT COLLINS, CO 80525-5919
(970) 224-3600
Mailing address
117 N MACK ST, FORT COLLINS, CO 80521-2416
(913) 568-1275
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10298
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02786575
—
CO
Enumeration date
12/16/2010
Last updated
07/22/2013
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