Timothy Restrepo I, DDS is a
Dentist - Oral And Maxillofacial Surgery based in Brewerton, New York. Timothy Restrepo I is licensed to practice in New York (license number 0455441) and his current practice location is
5501 Bartel Rd, Brewerton, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 804-1591.
NPI number for Timothy Restrepo I is 1679992283 and his current mailing address is 5501 Bartel Rd, Brewerton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679992283.
Healthcare Provider's Profile
Full Name | Timothy Restrepo I |
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Gender | Male |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 5501 Bartel Rd, Brewerton, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679992283
- Provider Enumeration Date: 04/10/2014
- Last Update Date: 11/15/2023
Medical Identifiers
Medical identifiers for Timothy Restrepo I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679992283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0455441 (New York) | 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. Timothy Restrepo I 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 |
Timothy Restrepo I, DDS 5501 Bartel Rd, Brewerton, NY 13029-8701 Ph: (716) 804-1591 | Timothy Restrepo I, DDS 5501 Bartel Rd, Brewerton, NY 13029-8701 Ph: (716) 804-1591 |
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