Individual
DR. TIMOTHY LYNN VOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1562 WELLS RD, SUITE 16, ORANGE PARK, FL 32073-1726
(904) 644-0140
(904) 644-0143
Mailing address
2280 COBB DR, TALLAHASSEE, FL 32312-3170
(850) 668-3736
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
010830
GA
1223P0221X
Pediatric Dentistry
Primary
DN0010185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415566 A
—
GA
05
—
0722669 00
—
FL
Enumeration date
07/07/2005
Last updated
01/03/2012
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