Individual
TIMOTHY BITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
111 E FOREST ST STE C, BRIGHAM CITY, UT 84302-2127
(435) 257-1601
Mailing address
5035 GARLAND LN N APT H, PLYMOUTH, MN 55446-2461
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12801573-9921
UT
Other
Enumeration date
07/13/2020
Last updated
07/09/2022
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