Timothy Robert Fitzgerald, DDS

NPI #1760580849 in Macomb, Illinois

Provider Information

NPI Number: 1760580849
Entity Type: Individual
Name: Timothy Robert Fitzgerald, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 335 W JACKSON STREET
City: Macomb
State: Illinois
ZIP Code: 61455-2112
Phone: (309) 833-2125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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