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General NPI Number Information
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NPI Number | 1659178465
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Entity Type | Organization
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Legal Business Name | CLINTON TIMMERMAN, DDS, PLLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1322 AVENUE D
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City | SNOHOMISH
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State | WA
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Zip | 98290-1746
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Country | US
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Telephone | 360-568-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 4621 131ST AVE SE
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City | SNOHOMISH
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State | WA
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Zip | 98290-4379
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Country | US
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Telephone | 206-818-0769
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLINTON SCOTT TIMMERMAN
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Credential | DDS
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Telephone | 206-818-0769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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