Provider Demographics
NPI:1578366654
Name:TIMOTHY H KINDT DDS
Entity type:Organization
Organization Name:TIMOTHY H KINDT DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:H
Authorized Official - Last Name:KINDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-981-0094
Mailing Address - Street 1:1244 N GREENFIELD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4078
Mailing Address - Country:US
Mailing Address - Phone:480-981-0094
Mailing Address - Fax:
Practice Address - Street 1:1244 N GREENFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4078
Practice Address - Country:US
Practice Address - Phone:480-981-0094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental