Provider Demographics
NPI:1487729406
Name:HESS, TIMOTHY A (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:A
Last Name:HESS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5748
Mailing Address - Country:US
Mailing Address - Phone:253-939-2424
Mailing Address - Fax:253-931-5529
Practice Address - Street 1:1268 E MAIN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5748
Practice Address - Country:US
Practice Address - Phone:253-939-2424
Practice Address - Fax:253-931-5529
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA73181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice