Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY M MCBRIDE, DDS
ActiveDental Public Health · FOND DU LAC, WI
Registration Details
- NPI Number
- 1801907076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.640261791626 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3702 (WI)
Practice Information
- Address
-
336 HARBOR VIEW DRFOND DU LAC, WI, 54935Browse WI providers · Browse ZIP 54935
- Phone
- 9209229400
- Fax
- 9209213260
- Primary Specialty
-
Dental Public Health
1223D0001X
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.