Verny, Timothy Dimitri

Verny, Timothy Dimitri is an sole proprietor health care provider with primary practice located at 13935 Hawthorne Blvd , Hawthorne CA 90250-7001. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Verny, Timothy Dimitri can be contacted via phone (310) 973-6428.

Contact Information

Primary practice address
13935 Hawthorne Blvd Hawthorne CA 90250-7001
Phone: (310) 973-6428
Fax: (310) 973-5395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 48778 California
Dental Providers / General Practice 1223G0001X 48778 California

Profile Details

NPI number 1336125913
LBN Legal business name Verny, Timothy Dimitri
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Feb 13th, 2013 - about 12 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 1336125913 NPPES
California Other 48778 DENTICAL PROVIDER NUMBER

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