Provider Demographics
NPI:1871679092
Name:HELTON, TIMOTHY STEVEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:STEVEN
Last Name:HELTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 LAKE RIDGE TERRACE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043
Mailing Address - Country:US
Mailing Address - Phone:770-822-1431
Mailing Address - Fax:770-978-5187
Practice Address - Street 1:2220 WISTERIA DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2656
Practice Address - Country:US
Practice Address - Phone:678-836-2107
Practice Address - Fax:770-978-5157
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10726122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist