Provider Demographics
NPI:1134355746
Name:PRISTAS, TIMOTHY FRANCIS (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:FRANCIS
Last Name:PRISTAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8545 SNOWVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3404
Mailing Address - Country:US
Mailing Address - Phone:440-667-6236
Mailing Address - Fax:
Practice Address - Street 1:8545 SNOWVILLE RD
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-3404
Practice Address - Country:US
Practice Address - Phone:440-667-6236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program