Green, Tim Davis

Green, Tim Davis is an sole proprietor health care provider with primary practice located at 8135 Soule Rd , Liverpool NY 13090-1578. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Green, Tim Davis can be contacted via phone (315) 622-2523.

Contact Information

Primary practice address
8135 Soule Rd Liverpool NY 13090-1578
Phone: (315) 622-2523
Fax: (315) 622-0594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 034421 New York

Profile Details

NPI number 1598787301
LBN Legal business name Green, Tim Davis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 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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