Hannon, Timothy James

Hannon, Timothy James is an sole proprietor health care provider with primary practice located at 39 Delaware Rd , Buffalo NY 14217-2742. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hannon, Timothy James can be contacted via phone (716) 874-9981.

Contact Information

Primary practice address
39 Delaware Rd Buffalo NY 14217-2742
Phone: (716) 874-9981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 046318 New York

Profile Details

NPI number 1114066727
LBN Legal business name Hannon, Timothy James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114066727 NPPES
New York MEDICAID 02259061

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