Timothy M Herbst
Dentist Dental Public Health
402 W Jefferson St
Kirksville
, Missouri 63501-3407
Timothy M Herbst
Dentist Dental Public Health
402 W Jefferson St
Kirksville
, Missouri 63501-3407
(660) 627-5802
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Timothy M Herbst
- 1416 Crown Drive
- Kirksville, MO
- Zip : 63501-2548
- Fax : (660) 627-5802
- Phone : (660) 627-5757
Second Address
- Timothy M Herbst
- 402 W Jefferson St
- Kirksville, MO
- Zip : 63501-3407
- Fax : (660) 665-3109
- Phone : (660) 665-2741
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 2001012903 | MO |
| Y | 1223D0001X | Dental Public Health | 2001012903 | MO |
National Provider Identifier
| NPI | 1235115304 |
|---|---|
| Provider Name | Timothy M Herbst |
| First Address | Kirksville, MO 63501-2548 |
| Second Address | Kirksville, MO 63501-3407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2005 |
| Last Update Date | 06/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 408444107 | (05) | MO |
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.