Provider Demographics
NPI:1417062175
Name:TIMOTHY C. DINDOFFER, M.D., P.C.
Entity Type:Organization
Organization Name:TIMOTHY C. DINDOFFER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-271-0076
Mailing Address - Street 1:1107 MEMORIAL DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8662
Mailing Address - Country:US
Mailing Address - Phone:706-271-0076
Mailing Address - Fax:706-271-0086
Practice Address - Street 1:1107 MEMORIAL DR
Practice Address - Street 2:SUITE 301
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8662
Practice Address - Country:US
Practice Address - Phone:706-271-0076
Practice Address - Fax:706-271-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty