Provider Demographics
NPI:1467842583
Name:DR MAY PC
Entity Type:Organization
Organization Name:DR MAY PC
Other - Org Name:TIMBERRIDGE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:435-654-2020
Mailing Address - Street 1:340 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-1438
Mailing Address - Country:US
Mailing Address - Phone:435-654-2020
Mailing Address - Fax:435-654-2021
Practice Address - Street 1:340 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-1438
Practice Address - Country:US
Practice Address - Phone:435-654-2020
Practice Address - Fax:435-654-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8577015-9922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty