NPI 1063695930
Tim Bakelaar, DMD
Practice location
- Address
- 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822
- Phone
- (901) 382-1564
- Fax
- (901) 382-0657
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1063695930
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Dec 2007
- Record last updated
- 13 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.