Dr. Timothy Mark Pentecost, DDS
Dentist, General Practice in Eureka, CA. Individual provider (NPI-1).
NPI number1881815686
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1881815686
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Mark Pentecost
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | BP36106 | CA | Yes |
Practice location
2453 Buhne StEureka, CA 95501-3206
Phone 707-443-7069 · Fax 707-443-9803
Mailing address
2453 Buhne StEureka, CA 95501-3206
Phone 707-443-7069 · Fax 707-443-9803
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All 32 General Practice Dentistry providers in Eureka · All 3,243 providers in Eureka
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