KEVIN R TIMM (NPI# 1386869899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386869899 |
| Entity Type | Individual |
| Full Name | KEVIN R TIMM |
| Credential | DDS |
| Practice Address |
4519 Page Ave Michigan Center MI 49254-1039 |
| Practice Telephone | 5177643870 |
| Practice Fax Number | 5177646787 |
| Mailing Telephone | 5177643870 |
| Mailing Fax Number | 5177646787 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901016764 | MI | Dental Providers |
| Street Address |
4519 PAGE AVE |
| City | MICHIGAN CENTER |
| State | MI |
| Zip Code | 49254-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083971436 | Kathleen Victoria Viola | Dermatology | 4304 Page Ave, Ste 200, Michigan Center, MI 49254 | 2012-04-23 |
| 1609931948 | Stephen Scott Tenniswood | Chiropractor | 4010 Page Ave # 104, Michigan Center, MI 49254 | 2006-12-27 |
| 1821199589 | Mary Lou Sommerfield | Physical Therapist | 4304 Page Ave Ste 100, Michigan Center, MI 49254 | 2006-09-26 |
| 1720134786 | Dawn E Wesenberg | Physician Assistant | 4328 Page Ave, Michigan Center, MI 49254 | 2007-01-25 |
| 1790906394 | John Gregory Palanci | Dentist | 4010 Page Avenue, Michigan Center, MI 49254-0497 | 2007-05-01 |
| 1801378971 | Tenniswood Chiropractic LLC | Chiropractor | 4010 Page Ave Ste 104, Michigan Center, MI 49254-1026 | 2018-09-05 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1871725473 | Wendy Louise Hastings | Registered Nurse | 4328 Page Ave, Michigan Center, MI 49254-1036 | 2009-08-14 |
| 1871642330 | Joseph A Mayo Jr Dc PC | Chiropractor | 4640 Page Ave, Michigan Center, MI 49254-1042 | 2007-01-10 |
| 1083798946 | Anthony Griffeth Hunter | Pharmacist | 4646 Page Ave, Michigan Center, MI 49254-1042 | 2006-10-25 |
| Find all providers in zip 49254 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790906394 | John Gregory Palanci | Dentist | 4010 Page Avenue, Michigan Center, MI 49254-0497 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CENTER |
| Zip Code | 49254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.