Provider Demographics
NPI:1295250223
Name:TIMOTHY ZIELINSKI DDS PC
Entity type:Organization
Organization Name:TIMOTHY ZIELINSKI DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-676-3711
Mailing Address - Street 1:640 W ASH ST
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-1423
Mailing Address - Country:US
Mailing Address - Phone:517-676-3711
Mailing Address - Fax:
Practice Address - Street 1:640 W ASH ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-1423
Practice Address - Country:US
Practice Address - Phone:517-676-3711
Practice Address - Fax:517-676-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty