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Contact Information

TIMOTHY M HERBST, DDS
402 W JEFFERSON ST
KIRKSVILLE, MO63501-3407
 Phone: 660-665-2741
 Fax: 660-665-3109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TIMOTHY M HERBST · (Male)

NPI Number 1235115304
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/20/2005
Last updated 11/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001012903
  • MO Medicaid 408444107
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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