Individual provider · NPI-1

Dr. Timothy Allen Aldrich, DDS

Dentist · Tulsa, OK

NPI number1326156571
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1326156571
Entity type
Individual (NPI-1)
Name
Dr. Timothy Allen Aldrich
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistOK5098OKYes

Practice location

1223 S Peoria Ave
Ste B
Tulsa, OK 74120

Phone 918-749-4206 · Fax 918-582-4189

Mailing address

1223 S Peoria Ave
Ste B
Tulsa, OK 74120

Phone 918-749-4206 · Fax 918-582-4189

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