Active NPIIndividual provider

Dr. Timothy P Deahl, DDS

Dentist, General Practice in Cambridge, Massachusetts

NPI Number1508882028
Practice location
2286 Massachusetts Ave, Cambridge, MA 02140
Fax
617-868-5375
Last updated
July 8, 2007

Timothy Paul Deahl is a Dentist, General Practice based in Cambridge, MA. Timothy Paul Deahl practices in Cambridge, MA and has the professional credentials of DDS. The NPI Number for Timothy Paul Deahl is 1508882028 and holds a License No. 16574 (MA). The current practice location address for Timothy Paul Deahl is 2286 Massachusetts Ave, Cambridge, MA 02140 and can be reached out via phone at 617-868-4046 and via fax at 617-868-5375.

Provider Profile Details

NPI Number
1508882028
Provider Name
Timothy Paul Deahl
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2286 Massachusetts Ave, Cambridge, MA 02140
Phone Number
617-868-4046
Fax Number
617-868-5375
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2286 Massachusetts Ave
Cambridge, MA 02140
Zip
02140
Phone Number
617-868-4046
Fax Number
617-868-5375
Cambridge, MA 02140Get directions →

Provider Business Mailing Address Details

Address
2286 Massachusetts Ave
Cambridge, MA 02140
City
Cambridge
State
MA
Zip
02140
Phone Number
617-868-4046
Fax Number
617-868-5375

License Information

License Number
16574
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Timothy P Deahl, DDS?

The NPI number of Dr. Timothy P Deahl, DDS is 1508882028. It was assigned on July 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Timothy P Deahl, DDS?

Dr. Timothy P Deahl, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 16574.

Where does Dr. Timothy P Deahl, DDS practice?

The practice location is 2286 Massachusetts Ave, Cambridge, MA 02140. The office can be reached at 617-868-4046 (phone) or 617-868-5375 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508882028 directly on the NPPES registry website.

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