Individual provider · Type 1 NPI

Timothy J. Flanigan, DDS

Oral and Maxillofacial Surgery (Dentist) · Green Bay, WI

NPI number 1922019405 Active

Practice location

430 Main St
Green Bay, WI 54301-5115

Fax (920) 431-1715

Mailing address

3417 Blackberry Ln
Green Bay, WI 54313-8780

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3198 (WI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1922019405

Timothy J. Flanigan, DDS's National Provider Identifier is 1922019405, issued on Aug 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.