Provider Demographics
NPI:1700227071
Name:TIMLIN, KATHERINE R (DMD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:R
Last Name:TIMLIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26112 OVERLOOK PKWY STE 1108
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-6054
Mailing Address - Country:US
Mailing Address - Phone:210-293-0810
Mailing Address - Fax:210-520-3424
Practice Address - Street 1:26112 OVERLOOK PKWY STE 1108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-6054
Practice Address - Country:US
Practice Address - Phone:210-293-0810
Practice Address - Fax:210-520-3424
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29270122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist