Individual
TIMOTHY MARTIN SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
818 OAKWOOD RD, CHARLESTON, WV 25314
(304) 346-3993
(304) 346-3992
Mailing address
818 OAKWOOD RD, CHARLESTON, WV 25314
(304) 346-3993
(304) 346-3992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2555
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136604000
—
WV
Enumeration date
11/06/2006
Last updated
07/08/2007
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