MEDICARE: DR. TIMOTHY P SULKEN DDS

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	17695	OH

General Provider Information

NPI Number	:	1124160726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY P SULKEN DDS

Provider Business Mailing Address
First Line	:	335 N MAIN ST
Second Line	:
City	:	FOSTORIA
State	:	OH
Zip	:	44830
Country	:	US
Telephone Number	:	419-435-6700
Fax Number	:	419-435-6780

Provider Business Practice Location Address
First Line	:	335 N MAIN ST
Second Line	:
City	:	FOSTORIA
State	:	OH
Zip	:	44830
Country	:	US
Telephone Number	:	419-435-6700
Fax Number	:	419-435-6780

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	05/31/2026

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Directions to “ DR. TIMOTHY P SULKEN DDS” Practice Location

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