Wentzloff, Timothy Donald
Wentzloff, Timothy Donald is an sole proprietor health care provider with primary practice located at 876 E Front St , Traverse City MI 49686-2704. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Wentzloff, Timothy Donald can be contacted via phone (231) 947-6880.Contact Information
Primary practice address
876 E Front St
Traverse City MI 49686-2704
Phone: (231) 947-6880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901020015 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1891937470 |
|---|---|
| LBN Legal business name | Wentzloff, Timothy Donald |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2009 |
| Last updated | Nov 13th, 2012 - 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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