Individual
MR. TIMOTHY DANIEL REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
530 PLAZA CT, SAND SPRINGS, OK 74063-7915
(918) 245-8333
(918) 245-8338
Mailing address
530 PLAZA CT, SAND SPRINGS, OK 74063-7915
(918) 245-8333
(918) 245-8338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5569
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100036100A
—
OK
Enumeration date
09/21/2005
Last updated
08/08/2012
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