MEDICARE: DR. TIMOTHY JOHN KREIMER DDS, MS

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
1	122300000X	Dentist	30.020899	OH

General Provider Information

NPI Number	:	1982842159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY JOHN KREIMER DDS, MS

Provider Business Mailing Address
First Line	:	3560 BLUE ROCK RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247
Country	:	US
Telephone Number	:	513-385-9888
Fax Number	:	513-385-9874

Provider Business Practice Location Address
First Line	:	3560 BLUE ROCK RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247
Country	:	US
Telephone Number	:	513-385-9888
Fax Number	:	513-385-9874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2009
Last Update Date	:	01/27/2009

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