Smith, Timothy James
Smith, Timothy James is an individual health care provider with primary practice located at 2820 Aaa Ct , Bettendorf IA 52722-6752. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Timothy James can be contacted via phone (563) 449-1070.Contact Information
Primary practice address
2820 Aaa Ct
Bettendorf IA 52722-6752
Phone: (563) 449-1070
Fax: (563) 449-1072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7655 | Iowa |
Profile Details
| NPI number | 1982616058 |
|---|---|
| LBN Legal business name | Smith, Timothy James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982616058 | NPPES |
| Iowa | MEDICAID | 0105593 |
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