Dr. Timothy Otto Hart
Prosthodontist
1720 E Lake Bluff Blvd
Shorewood
, Wisconsin 53211-1517
Dr. Timothy Otto Hart
Prosthodontist
1720 E Lake Bluff Blvd
Shorewood
, Wisconsin 53211-1517
(414) 962-2302
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Timothy Otto Hart
- 1720 E Lake Bluff Blvd
- Shorewood, WI
- Zip : 53211-1517
- Fax : (414) 962-2302
- Phone : (414) 962-1800
Second Address
- Dr. Timothy Otto Hart
- 1720 E Lake Bluff Blvd
- Shorewood, WI
- Zip : 53211-1517
- Fax : (414) 962-2302
- Phone : (414) 962-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 1896G | WI |
National Provider Identifier
| NPI | 1134275597 |
|---|---|
| Provider Name | Dr. Timothy Otto Hart |
| First Address | Shorewood, WI 53211-1517 |
| Second Address | Shorewood, WI 53211-1517 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 08/07/2007 |
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.