Gerety, Timothy J

Gerety, Timothy J is an individual health care provider with primary practice located at 4101 S 4Th Street Dental Clinic, L-160, Leavenworth KS 66048-5055. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gerety, Timothy J can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th Street Dental Clinic, L-160 Leavenworth KS 66048-5055
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6131 Kansas

Profile Details

NPI number 1124081880
LBN Legal business name Gerety, Timothy J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 11th, 2007 - about 18 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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