Windham, Timothy A

Windham, Timothy A is an sole proprietor health care provider with primary practice located at 1620 Fm 646 Rd W Ste D , Dickinson TX 77539-4580. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Windham, Timothy A can be contacted via phone (281) 332-0980.

Contact Information

Primary practice address
1620 Fm 646 Rd W Ste D Dickinson TX 77539-4580
Phone: (281) 332-0980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22439 Ohio
Dental Providers / Dentist 122300000X 28553 Texas

Profile Details

NPI number 1982724886
LBN Legal business name Windham, Timothy A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Nov 27th, 2018 - about 6 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 1982724886 NPPES
Ohio MEDICAID 2677232

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