Michael T Tierney Dds.ltd

NPI #1043620131 in Oswego, Illinois

Provider Information

NPI Number: 1043620131
Entity Type: Organization
Organization Name: Michael T Tierney Dds.ltd
Primary Specialty: Clinic/Center
Enumeration Date: Apr 29, 2014
Last Updated: Apr 29, 2014

Practice Location

Address: 4781 STATE ROUTE 71
City: Oswego
State: Illinois
ZIP Code: 60543-7415
Phone: (630) 554-5157

Authorized Official

Name: DR. MICHAEL T TIERNEY, DDS
Title: DENTIST
Phone: (630) 554-5157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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