Provider Demographics
NPI:1740852102
Name:ALBRIGHT, TIMOTHEY EDWARD II (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHEY
Middle Name:EDWARD
Last Name:ALBRIGHT
Suffix:II
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 1:511 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-1805
Mailing Address - Country:US
Mailing Address - Phone:727-367-1551
Mailing Address - Fax:
Practice Address - Street 1:511 76TH AVE
Practice Address - Street 2:
Practice Address - City:ST PETE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33706-1805
Practice Address - Country:US
Practice Address - Phone:727-367-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL262921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice