Geraci, Timothy F

Geraci, Timothy F is an sole proprietor health care provider with primary practice located at 3300 Webster St Suite 905, Oakland CA 94609-3117. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Geraci, Timothy F can be contacted via phone (510) 465-4060.

Contact Information

Primary practice address
3300 Webster St Suite 905 Oakland CA 94609-3117
Fax: (510) 465-4395
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 23101 California

Profile Details

NPI number 1669675021
LBN Legal business name Geraci, Timothy F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Nov 26th, 2013 - about 11 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 1669675021 NPPES
California Other 94-2236630 TAX IDENTIFICATION NUMBER

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