DR. Michael T Tierney, D.D.S

NPI #1063501567 in Oswego, Illinois

Provider Information

NPI Number: 1063501567
Entity Type: Individual
Name: DR. Michael T Tierney, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Oct 12, 2006
Last Updated: Jul 12, 2013

Practice Location

Address: 4781 STATE ROUTE71
City: Oswego
State: Illinois
ZIP Code: 60543
Phone: (630) 554-5157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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