National Provider Identifier

Timothy James Hannon, DDS

Timothy James Hannon, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 874-9981.

NPI 1114066727Buffalo, NYGeneral Practice Dentistry

Profile Overview

NPI
1114066727
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
February 06, 2007
Last Updated
July 09, 2007

Practice Location

  • 39 Delaware RD
  • Buffalo, NY 14217-2742

Phone: (716) 874-9981

Mailing Address

  • 51 Brynstone Ct
  • Buffalo, NY 14228-3703

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1114066727
Entity Type
Individual
Last Name
Hannon
First Name
Timothy
Middle Name
James
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
51 Brynstone Ct
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14228-3703
Mailing Country
US
Mailing Phone
(716) 691-7053
Practice Street Address
39 Delaware RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14217-2742
Practice Country
US
Practice Phone
(716) 874-9981
Enumeration Date
February 06, 2007
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
02259061 (NY)