Bandrowsky, Timothy

Bandrowsky, Timothy is an sole proprietor health care provider with primary practice located at 755 S Perry St Ste 300, Castle Rock CO 80104-1901. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bandrowsky, Timothy can be contacted via phone (303) 660-5651.

Contact Information

Primary practice address
755 S Perry St Ste 300 Castle Rock CO 80104-1901
Fax: (303) 660-1582
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8089 Colorado

Profile Details

NPI number 1366448417
LBN Legal business name Bandrowsky, Timothy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated May 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366448417 NPPES
Colorado MEDICAID 58457721

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