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NPI Code Detail

MEDICARE: DR. TIMOTHY SKANE DDS

MEDICARE:  DR. TIMOTHY  SKANE  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
11223E0200XEndodontics13350MD

General Provider Information

NPI Number : 1598970519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY SKANE DDS
Provider Business Mailing Address
First Line : 36 S CHARLES ST
Second Line : SUITE 1405
City : BALTIMORE
State : MD
Zip : 21201-3020
Country : US
Telephone Number : 410-637-3636
Fax Number : 410-637-8252
Provider Business Practice Location Address
First Line : 36 S CHARLES ST
Second Line : SUITE 1405
City : BALTIMORE
State : MD
Zip : 21201-3020
Country : US
Telephone Number : 410-637-3636
Fax Number : 410-637-8252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. TIMOTHY SKANE DDS” Practice Location

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