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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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