Wolfenden, Timothy Rand
Wolfenden, Timothy Rand is an sole proprietor health care provider with primary practice located at 65 James St Suite 204, Worcester MA 01603-1026. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wolfenden, Timothy Rand can be contacted via phone (508) 753-8778.Contact Information
Primary practice address
65 James St Suite 204
Worcester MA 01603-1026
Phone: (508) 753-8778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | MA16775 | Massachusetts |
Profile Details
| NPI number | 1760529978 |
|---|---|
| LBN Legal business name | Wolfenden, Timothy Rand |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1760529978 | NPPES |
| Massachusetts | MEDICAID | 0269697 |
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