Merry, Timothy James

Merry, Timothy James is an individual health care provider with primary practice located at 1500 South Main St , West Bend WI 53095. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Merry, Timothy James can be contacted via phone (262) 338-0022.

Contact Information

Primary practice address
1500 South Main St West Bend WI 53095
Phone: (262) 338-0022
Fax: (262) 338-7982
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3135 Wisconsin

Profile Details

NPI number 1619054186
LBN Legal business name Merry, Timothy James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 7th, 2023 - about 2 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 1619054186 NPPES
Wisconsin MEDICAID 33489400

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