Timothy Mark Pentecost, DDS

General Practice Dentistry · Eureka, CA

Individual Active NPI

NPI number 1881815686

Practice location

2453 Buhne St
Eureka, CA 95501-3206
Phone
(707) 443-7069
Fax
(707) 443-9803

Open in Google Maps

NPI record

NPI
1881815686
Entity type
Individual (Type 1)
Enumeration date
May 1, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X BP36106 CA

About Dr. Pentecost

Timothy Mark Pentecost, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2453 Buhne St, Eureka, CA 95501-3206. The NPI number 1881815686 was assigned on May 1, 2007 and the record was last updated on July 8, 2007.

Dr. Pentecost lists a license in the registry: #BP36106 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Mark Pentecost, DDS?

The NPI number is 1881815686.

What is the phone number of Dr. Pentecost?

The phone number listed for the practice location is (707) 443-7069.

Where is Dr. Pentecost located?

2453 Buhne St, Eureka, CA 95501-3206.

What is the taxonomy code for Dr. Pentecost?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

Other General Practice Dentistry providers in Eureka

All General Practice Dentistry providers in Eureka, CA →