Vola, Timothy Lynn

Vola, Timothy Lynn is an individual health care provider with primary practice located at 1562 Wells Rd Suite 16, Orange Park FL 32073-1726. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Vola, Timothy Lynn can be contacted via phone (904) 644-0140.

Contact Information

Primary practice address
1562 Wells Rd Suite 16 Orange Park FL 32073-1726
Phone: (904) 644-0140
Fax: (904) 644-0143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 010830 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN0010185 Florida

Profile Details

NPI number 1831196740
LBN Legal business name Vola, Timothy Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 3rd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831196740 NPPES
Georgia MEDICAID 00415566 A
Georgia MEDICAID 0722669 00

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