Provider Demographics
NPI:1225034572
Name:TURVEY, TIMOTHY A (DDS)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:A
Last Name:TURVEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 LAKESHORE LANE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:919-929-1235
Mailing Address - Fax:919-966-6019
Practice Address - Street 1:UNC ORAL AND MAXILLOFACIAL SURGERY
Practice Address - Street 2:115 BRAUER HALL, CB #7450
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-966-1126
Practice Address - Fax:919-966-6019
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC41551223S0112X
TX99801223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC241049Medicare ID - Type Unspecified
NCT50224Medicare UPIN