Individual
DR. ROBERT JOHN TIMOTHY
Active
Individual
DR. ROBERT JOHN TIMOTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D-3060
ID
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
145092-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003303600
—
ID
Enumeration date
04/25/2006
Last updated
12/20/2021
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