National Provider Identifier
Timothy Joseph O'Leary, DDS
Timothy Joseph O'Leary, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 663-3957.
Profile Overview
- NPI
- 1699831453
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- December 28, 2006
- Last Updated
- July 09, 2007
Practice Location
- 4292 Lake Ave
- Rochester, NY 14612-4808
Phone: (585) 663-3957
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1699831453
- Entity Type
- Individual
- Last Name
- O'Leary
- First Name
- Timothy
- Middle Name
- Joseph
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 4292 Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-4808
- Mailing Country
- US
- Mailing Phone
- (585) 663-3957
- Practice Street Address
- 4292 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-4808
- Practice Country
- US
- Practice Phone
- (585) 663-3957
- Enumeration Date
- December 28, 2006
- 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
- 7438 (NY, Rochester Blue Shield Id), 00843852 (NY)