DR. Timothy J Gerety, DDS

NPI #1124081880 in Leavenworth, Kansas

Provider Information

NPI Number: 1124081880
Entity Type: Individual
Name: DR. Timothy J Gerety, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 11, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 4101 S 4TH STREET
Address 2: DENTAL CLINIC, L-160
City: Leavenworth
State: Kansas
ZIP Code: 66048-5055
Phone: (913) 682-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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