Ridenour, Timothy A.

Ridenour, Timothy A. is an individual health care provider with primary practice located at 988 S Bartlett Rd , Bartlett IL 60103-6500. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ridenour, Timothy A. can be contacted via phone (630) 289-4288.

Contact Information

Primary practice address
988 S Bartlett Rd Bartlett IL 60103-6500
Fax: (630) 289-4468

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19A15902 Illinois

Profile Details

NPI number 1942294988
LBN Legal business name Ridenour, Timothy A.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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