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NPI Code Detail

MEDICARE: DR. TIMOTHY JOHN TOMAN D.M.D.

MEDICARE: DR. TIMOTHY JOHN TOMAN D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN 16225FL

General Provider Information

NPI Number : 1982710380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY JOHN TOMAN D.M.D.
Provider Business Mailing Address
First Line : 320 3RD ST
Second Line : SUITE A
City : NEPTUNE BEACH
State : FL
Zip : 32266-5109
Country : US
Telephone Number : 904-249-3739
Fax Number : 904-249-7811
Provider Business Practice Location Address
First Line : 320 3RD ST
Second Line : SUITE A
City : NEPTUNE BEACH
State : FL
Zip : 32266-5109
Country : US
Telephone Number : 904-249-3739
Fax Number : 904-249-7811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

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