Provider Demographics
NPI:1871767343
Name:FIELD, PAUL TIMOTHY (DDS)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:TIMOTHY
Last Name:FIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6648
Mailing Address - Country:US
Mailing Address - Phone:310-592-3232
Mailing Address - Fax:
Practice Address - Street 1:6801 WARREN PKWY
Practice Address - Street 2:SUITE #115
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4174
Practice Address - Country:US
Practice Address - Phone:214-618-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244191223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry