Provider Demographics
NPI:1568912822
Name:DR. DENNIS D. TIMPERLEY
Entity Type:Organization
Organization Name:DR. DENNIS D. TIMPERLEY
Other - Org Name:STANTON DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:DAREL
Authorized Official - Last Name:TIMPERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-439-2126
Mailing Address - Street 1:1001 IVY ST
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:NE
Mailing Address - Zip Code:68779-2341
Mailing Address - Country:US
Mailing Address - Phone:402-439-2126
Mailing Address - Fax:
Practice Address - Street 1:1001 IVY ST
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:NE
Practice Address - Zip Code:68779-2341
Practice Address - Country:US
Practice Address - Phone:402-439-2126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5041122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty