Timothy Vincent Monroe, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

17221 Issued in OH

Practice address

410 E State St
Athens, OH 45701-1819

Phone

(740) 594-8207

Fax

(740) 592-5931

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083775795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011819",
            "telephone_number": "740-594-8207",
            "fax_number": "740-592-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011819",
            "telephone_number": "740-594-8207",
            "fax_number": "740-592-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "TIMOTHY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "17221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Lou Moleski, LPN
• Megan Olivia Molnar
• Kayli Monhollen
• William Monopoli, MA
• Malinna Star Monroe
• Tracey M Monroe, CDCA
• Cassandra K Montgomery, CRISIS RES SPEC
• Karen Ann Montgomery, D.O.
• Kelly S Montgomery
• Nicole Montgomery

• Oral and Maxillofacial Surgery (Dentist) in Athens, OH
• Providers in Athens, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.