Timothy Robert Fitzgerald, DDS

Dentist · Macomb, IL

Individual Active NPI

NPI number 1760580849

Practice location

335 W Jackson Street
Macomb, IL 61455-2112
Phone
(309) 833-2125

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NPI record

NPI
1760580849
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

About Dr. Fitzgerald

Timothy Robert Fitzgerald, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 335 W Jackson Street, Macomb, IL 61455-2112. The NPI number 1760580849 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Timothy Robert Fitzgerald, DDS?

The NPI number is 1760580849.

What is the phone number of Dr. Fitzgerald?

The phone number listed for the practice location is (309) 833-2125.

Where is Dr. Fitzgerald located?

335 W Jackson Street, Macomb, IL 61455-2112.

What is the taxonomy code for Dr. Fitzgerald?

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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