Individual
TIMOTHY NED PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
3183 THISTLE CT, SALINE, MI 48176-9576
(734) 904-7602
(734) 429-5774
Mailing address
3183 THISTLE CT, SALINE, MI 48176-9576
(734) 904-7602
(734) 429-5774
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2211
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901010019
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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