Dr. Tim Bakelaar
Pediatric Dentist
3071 Kirby Whitten Rd
Bartlett
, Tennessee 38134-2822
Dr. Tim Bakelaar
Pediatric Dentist
3071 Kirby Whitten Rd
Bartlett
, Tennessee 38134-2822
(901) 382-0657
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Tim Bakelaar
- 3071 Kirby Whitten Rd
- Bartlett, TN
- Zip : 38134-2822
- Fax : (901) 382-0657
- Phone : (901) 382-1564
Second Address
- Dr. Tim Bakelaar
- 3071 Kirby Whitten Rd
- Bartlett, TN
- Zip : 38134-2822
- Fax : (901) 382-0657
- Phone : (901) 382-1564
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DS8179 | TN |
National Provider Identifier
| NPI | 1063695930 |
|---|---|
| Provider Name | Dr. Tim Bakelaar |
| First Address | Bartlett, TN 38134-2822 |
| Second Address | Bartlett, TN 38134-2822 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2007 |
| Last Update Date | 13/12/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.