Michael T. Tierney, D.D.S

Dentist · Oswego, IL

Individual Active NPI

NPI number 1063501567

Practice location

4781 State Route71
Oswego, IL 60543
Phone
(630) 554-5157
Fax
(630) 554-5487

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NPI record

NPI
1063501567
Entity type
Individual (Type 1)
Enumeration date
October 12, 2006
Last updated
July 12, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 01914998 IL

Mailing address

4781 State Route 71
Oswego, IL 60543
Phone
(630) 554-5157
Fax
(630) 554-5487

About Dr. Tierney

Michael T. Tierney, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4781 State Route71, Oswego, IL 60543. The NPI number 1063501567 was assigned on October 12, 2006 and the record was last updated on July 12, 2013.

Dr. Tierney lists a license in the registry: #01914998 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael T. Tierney, D.D.S?

The NPI number is 1063501567.

What is the phone number of Dr. Tierney?

The phone number listed for the practice location is (630) 554-5157.

Where is Dr. Tierney located?

4781 State Route71, Oswego, IL 60543.

What is the taxonomy code for Dr. Tierney?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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