Dr Timothy Allen Mitchener, DMD, MPH is a
Dentist - Dental Public Health based in Gunpowder, Maryland. Dr Timothy Allen Mitchener is licensed to practice in Tennessee (license number DS0000004875) and his current practice location is
5158 Black Hawk Rd, Gunpowder, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 436-5001.
NPI number for Dr Timothy Allen Mitchener is 1609889864 and his current mailing address is 5158 Black Hawk Rd, Gunpowder, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609889864.
Healthcare Provider's Profile
Full Name | Dr Timothy Allen Mitchener |
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Gender | Male |
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Speciality | Dentist - Dental Public Health |
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Location | 5158 Black Hawk Rd, Gunpowder, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609889864
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Timothy Allen Mitchener such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609889864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223D0001X | Dentist - Dental Public Health | DS0000004875 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Allen Mitchener is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Timothy Allen Mitchener, DMD, MPH 5158 Black Hawk Rd, Gunpowder, MD 21010-5403 Ph: (410) 436-5001 | Dr Timothy Allen Mitchener, DMD, MPH 5158 Black Hawk Rd, Gunpowder, MD 21010-5403 Ph: (410) 436-5001 |
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