Bouressa, Timothy James

Bouressa, Timothy James is an individual health care provider with primary practice located at 500 W 3Rd St Pob 96, Kimberly WI 54136-1305. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bouressa, Timothy James can be contacted via phone (920) 788-4201.

Contact Information

Primary practice address
500 W 3Rd St Pob 96 Kimberly WI 54136-1305
Phone: (920) 788-4201
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3929 Wisconsin

Profile Details

NPI number 1922296466
LBN Legal business name Bouressa, Timothy James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 17 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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