MEDICARE: COMMONWEALTH ENDODONTICS

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	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1497864466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMONWEALTH ENDODONTICS

Provider Business Mailing Address
First Line	:	3107 HUNGARY SPRING RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2421
Country	:	US
Telephone Number	:	804-501-0501
Fax Number	:	804-501-0509

Provider Business Practice Location Address
First Line	:	3107 HUNGARY SPRING RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2421
Country	:	US
Telephone Number	:	804-501-0501
Fax Number	:	804-501-0509

Authorized Official
Title or Position	:	ENDODONTIST
Name	:	DR. TIMOTHY FINKLER
Credential	:	DDS
Telephone Number	:	804-501-0501

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/06/2015

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Directions to “COMMONWEALTH ENDODONTICS ” Practice Location

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