| Timothy J. Sweeney | |
|
125 E Main St Olney TX 76374 | |
| (940) 564-4470 | |
| (940) 564-4472 |
| Full Name | Timothy J. Sweeney |
|---|---|
| Speciality | Dentist |
| Location | 125 E Main St, Olney, Texas |
| Authorized Official Name and Position | Timothy James Sweeney (CO OWNER) |
| Authorized Official Contact | 9405644470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Sweeney 125 E Main St Olney TX 76374 Ph: (940) 564-4470 | Timothy J. Sweeney 125 E Main St Olney TX 76374 Ph: (940) 564-4470 |
| NPI Number | 1164571063 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164571063 | NPI | - | NPPES |
| 153191501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |