Crisp, Timothy F.

Crisp, Timothy F. is an sole proprietor health care provider with primary practice located at 11 Canary Ln , Winchester KY 40391-1645. He recently has 3 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Pediatric Dentistry is his primary health care specialty. Crisp, Timothy F. can be contacted via phone (859) 744-7031.

Contact Information

Primary practice address
11 Canary Ln Winchester KY 40391-1645
Phone: (859) 744-7031
Fax: (859) 744-9175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6359 Kentucky
Dental Providers / Dentist 122300000X 6359 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6359 Kentucky

Profile Details

NPI number 1275671208
LBN Legal business name Crisp, Timothy F.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Apr 20th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275671208 NPPES
Kentucky MEDICAID 60063591

Popular Providers