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Timothy I. Dillivan, DDS
General Practice Dentistry in Muskegon, Michigan
NPI 1275614547

Timothy I. Dillivan is a General Practice Dentistry based in Muskegon, MI and is specialized in General Practice. Timothy I. Dillivan practices in Muskegon, MI and has the professional credentials of DDS. The NPI Number for Timothy I. Dillivan is 1275614547 and holds a License No. 13296 (Michigan).

The current practice location address for Timothy I. Dillivan is 3535 Park St Ste 102, Muskegon, MI and can be reached out via phone at 231-739-2152 and via fax at 231-733-1472. You can also correspond with Timothy I. Dillivan through the mailing address at 3535 PARK ST STE 102, MUSKEGON, MI - 49444-3736 (mailing address contact number: 231-739-2152).

Location: 3535 Park St Ste 102, Muskegon, MI, 49444-3736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275614547
Provider Name
Timothy I. Dillivan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3535 Park St Ste 102, Muskegon, MI, 49444-3736
Phone Number
231-739-2152
Fax Number
231-733-1472
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4064347 05 MI
institution
Provider Business Practice Location Address Details
Address
3535 Park St Ste 102
City
Muskegon
State
Michigan
Zip
49444-3736
Phone Number
231-739-2152
Fax Number
231-733-1472
person
Provider Business Mailing Address Details
Address
3535 Park St Ste 102
City
Muskegon
State
Michigan
Zip
49444-3736
Phone Number
231-739-2152
Fax Number
231-733-1472
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13296 (Michigan)
Definition
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.
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