| Tim F. Crisp Dmd | |
|
11 Canary Ln Winchester KY 40391-1645 | |
| (859) 744-7031 | |
| (859) 744-9175 |
| Full Name | Tim F. Crisp Dmd |
|---|---|
| Speciality | Dentist |
| Location | 11 Canary Ln, Winchester, Kentucky |
| Authorized Official Name and Position | Tim Felix Crisp (OWNER) |
| Authorized Official Contact | 8597447031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim F. Crisp Dmd 11 Canary Ln Winchester KY 40391-1645 Ph: (859) 744-7031 | Tim F. Crisp Dmd 11 Canary Ln Winchester KY 40391-1645 Ph: (859) 744-7031 |
| NPI Number | 1144469016 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144469016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6359 (Kentucky) | Primary |
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