Individual provider · Type 1 NPI

Timothy Thomas Coyle, MD DDS

Oral and Maxillofacial Surgery (Dentist) · Columbia, MO

NPI number 1952376964 Active

Practice location

3015 S Providence Rd, Suite 5
Columbia, MO 65203

Fax (573) 875-6142

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X015920 (MO)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2002020403 (MO)

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 1952376964

Timothy Thomas Coyle, MD DDS's National Provider Identifier is 1952376964, issued on Feb 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbia, MO. The record was last updated on Apr 11, 2017.