Pentecost, Timothy Mark

Pentecost, Timothy Mark is an sole proprietor health care provider with primary practice located at 2453 Buhne St , Eureka CA 95501-3206. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pentecost, Timothy Mark can be contacted via phone (707) 443-7069.

Contact Information

Primary practice address
2453 Buhne St Eureka CA 95501-3206
Fax: (707) 443-9803
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X BP36106 California

Profile Details

NPI number 1881815686
LBN Legal business name Pentecost, Timothy Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 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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