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Dr. Timothy Michael Wahl, DMD
Periodontist in Merritt Island, Florida
NPI 1619972668

Timothy Michael Wahl is a Periodontist based in Merritt Island, FL and is specialized in Periodontics. Timothy Michael Wahl practices in Merritt Island, FL and has the professional credentials of DMD. The NPI Number for Timothy Michael Wahl is 1619972668 and holds a License No. DN9499 (Florida).

The current practice location address for Timothy Michael Wahl is 190 S Sykes Creek Pkwy, Merritt Island, FL and can be reached out via phone at 321-459-0154 and via fax at 321-459-0739.

Location: 190 S Sykes Creek Pkwy, Merritt Island, FL, 32952-3572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619972668
Provider Name
Timothy Michael Wahl
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
190 S Sykes Creek Pkwy, Merritt Island, FL, 32952-3572
Phone Number
321-459-0154
Fax Number
321-459-0739
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN9499 01 FL STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
190 S Sykes Creek Pkwy
City
Merritt Island
State
Florida
Zip
32952-3572
Phone Number
321-459-0154
Fax Number
321-459-0739
person
Provider Business Mailing Address Details
Address
190 S Sykes Creek Pkwy
City
Merritt Island
State
Florida
Zip
32952-3572
Phone Number
321-459-0154
Fax Number
321-459-0739
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN9499 (Florida)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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