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Dr. Timothy Donald Wentzloff, DDS
Student in an Organized Health Care Education/Training Program in Traverse City, Michigan
NPI 1891937470

Timothy Donald Wentzloff is a Student in an Organized Health Care Education/Training Program based in Williamsburg, MI. Timothy Donald Wentzloff practices in Traverse City, MI and has the professional credentials of DDS. The NPI Number for Timothy Donald Wentzloff is 1891937470 and holds a License No. 2901020015 (Michigan).

The current practice location address for Timothy Donald Wentzloff is 876 E Front St, Traverse City, MI and can be reached out via phone at 231-947-6880.

Location: 876 E Front St, Traverse City, MI, 49690-9246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891937470
Provider Name
Timothy Donald Wentzloff
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
876 E Front St, Traverse City, MI, 49690-9246
Phone Number
231-947-6880
Fax Number
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
876 E Front St
City
Traverse City
State
Michigan
Zip
49686-2704
Phone Number
231-947-6880
Fax Number
person
Provider Business Mailing Address Details
Address
876 E Front St
City
Traverse City
State
Michigan
Zip
49686-2704
Phone Number
231-947-6880
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2901020015 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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