National Provider Identifier

Timothy M. Blieden, DDS

Timothy M. Blieden, DDS is listed in the NPPES registry with a primary specialty of Periodontics in Rochester, NY and a listed phone number of (585) 225-4600.

NPI 1053411322Rochester, NYPeriodontics

Profile Overview

NPI
1053411322
Provider Type
Individual
Primary Specialty
Periodontics
Enumeration Date
September 25, 2006
Last Updated
February 24, 2009

Practice Location

  • 2081 Ridge RD W
  • Rochester, NY 14626-2724

Phone: (585) 225-4600

Specialties

  • Periodontics (1223P0300X)
Full Record
NPI
1053411322
Entity Type
Individual
Last Name
Blieden
First Name
Timothy
Middle Name
M.
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
2081 Ridge RD W
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-2724
Mailing Country
US
Mailing Phone
(585) 225-4600
Mailing Fax
(585) 225-6671
Practice Street Address
2081 Ridge RD W
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-2724
Practice Country
US
Practice Phone
(585) 225-4600
Practice Fax
(585) 225-6671
Enumeration Date
September 25, 2006
Last Updated
February 24, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Periodontics (1223P0300X)