Provider Demographics
NPI:1356047377
Name:TIMNATH KIDS DENTISTRY
Entity type:Organization
Organization Name:TIMNATH KIDS DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:775-722-3504
Mailing Address - Street 1:6020 YELLOWTAIL ST
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547-6000
Mailing Address - Country:US
Mailing Address - Phone:775-722-3504
Mailing Address - Fax:
Practice Address - Street 1:4650 SIGNAL TREE DR # 1100
Practice Address - Street 2:
Practice Address - City:TIMNATH
Practice Address - State:CO
Practice Address - Zip Code:80547-4908
Practice Address - Country:US
Practice Address - Phone:775-722-3504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty