Individual
DR. TIMOTHY J VACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13220 CALLUM DR # 5, WAVERLY, NE 68462-2560
(402) 786-2007
(402) 786-2008
Mailing address
13220 CALLUM DR # 5, WAVERLY, NE 68462-2560
(402) 786-2007
(402) 786-2008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6027
WI
1223G0001X
General Practice Dentistry
Primary
6799
NE
Other
Enumeration date
03/09/2007
Last updated
04/14/2009
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