Mitchener, Timothy Allen

Mitchener, Timothy Allen is an individual health care provider with primary practice located at 5158 Black Hawk Rd , Gunpowder MD 21010-5403. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Mitchener, Timothy Allen can be contacted via phone (410) 436-5001.

Contact Information

Primary practice address
5158 Black Hawk Rd Gunpowder MD 21010-5403
Phone: (410) 436-5001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DS0000004875 Tennessee

Profile Details

NPI number 1609889864
LBN Legal business name Mitchener, Timothy Allen
Credentials D.M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 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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