Individual
DR. TIMOTHY JOHN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1995 BETHABARA RD, WINSTON-SALEM, NC 27106-3375
(336) 759-7596
(336) 759-3652
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 759-7596
(336) 759-3652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9500876
NC
207R00000X
Internal Medicine Physician
Primary
95-00876
NC
208000000X
Pediatrics Physician
95-00876
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402121
UNITED HEALTHCARE
—
01
—
10526
PARTNERS
—
01
—
110113235
RAILROAD MEDICARE
—
01
—
2624358
AETNA HMO OPOS
—
01
—
26793
BCBS
—
01
—
287316
MAMSI
—
01
—
410250659
CHAMPUS
—
01
—
5592041
AETNA PPO POS
—
01
—
58523
MEDCOST
—
05
—
8926793
—
NC
Enumeration date
05/27/2005
Last updated
10/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us