Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY R DURKIN, D.D.S.
Deactivated Sole ProprietorDR. TIMOTHY R DURKIN, D.D.S. is a General Dentistry healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1336149970 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · SOUTH LAKE TAHOE, CA
This NPI has been deactivated.
The record was deactivated on March 25, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1336149970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (0.66301369863014 yrs)
- Last Updated
- Dec 15, 2015
- Deactivated
- Mar 25, 2006
- License
-
29816 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3443 LAKE TAHOE BLVDSUITE #BSOUTH LAKE TAHOE, CA, 961508910Browse CA providers · Browse ZIP 96150
- Phone
- 5305443426
- Fax
- 5305427710
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JEFF CHAMBERLAIN | DDS | 1043201270 |
| DR. ROSS W. GROELZ | DDS | 1568437200 |
| DR. CHRIS ALLEN CERCEO | D.D.S. | 1629091012 |
| DR. JASON RANDALL ACEVEDO | DDS | 1326127663 |
| DR. DONALD MINEO YAMAOKA | DDS | 1467526285 |
| DR. KANG YUL LEE | D.D.S. | 1861567349 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.