Individual
TIMOTHY J GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1931 N. 8TH STREET, SHEBOYGAN, WI 53081-2740
(920) 783-6633
(920) 783-6392
Mailing address
P O BOX 959, SHEBOYGAN, WI 53082-0959
(920) 783-6633
(920) 783-6392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001085-15
WI
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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