Provider Demographics
NPI:1306017116
Name:DINKELMAN, TIMOTHY NORMAN
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:NORMAN
Last Name:DINKELMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 SUPERIOR ST
Mailing Address - Street 2:SUITE-5
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1982
Mailing Address - Country:US
Mailing Address - Phone:402-477-1177
Mailing Address - Fax:402-477-6142
Practice Address - Street 1:1401 SUPERIOR ST
Practice Address - Street 2:SUITE-5
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1982
Practice Address - Country:US
Practice Address - Phone:402-477-1177
Practice Address - Fax:402-477-6142
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE59541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice