Icenhower, Timothy Jay
Icenhower, Timothy Jay is an sole proprietor health care provider with primary practice located at 3401 Custer Rd Ste 102 , Plano TX 75023-7546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Icenhower, Timothy Jay can be contacted via phone (469) 543-0335.Contact Information
Primary practice address
3401 Custer Rd Ste 102
Plano TX 75023-7546
Phone: (469) 543-0335
Fax: (972) 767-3289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17200 | Texas |
Profile Details
| NPI number | 1770540866 |
|---|---|
| LBN Legal business name | Icenhower, Timothy Jay |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Sep 14th, 2021 - about 3 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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