TIMOTHY I. DILLIVAN D.D.S.
NPI 1275614547
Dentist - General Practice in Muskegon, MI

Active since October 17, 2006
3535 PARK ST STE 102, MUSKEGON, MI 49444(231) 739-2152(231) 733-1472 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy I. Dillivan D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY I. DILLIVAN D.D.S. (NPI 1275614547) is an individual general practice provider in Muskegon, Michigan, licensed in Michigan (13296) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1275614547
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY I. DILLIVANCredential: D.D.S.
Location Address3535 PARK ST STE 102Muskegon, MI 49444-3736
Mailing Address3535 Park St Ste 102Muskegon, MI 49444-3736 · (231) 739-2152 · Fax (231) 733-1472
Fax(231) 733-1472
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275614547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 13296
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3535 PARK ST STE 102, Muskegon, MI 49444

Other Identifiers 1

Medicaid4064347MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3535 PARK ST STE 102
NORTON SHORES, MI 49444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Dillivan's NPI number?

The NPI number for Timothy Dillivan is 1275614547. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Timothy Dillivan located?

Timothy Dillivan practices at 3535 Park St Ste 102, Muskegon, MI 49444. The listed phone number is (231) 739-2152.

What is Timothy Dillivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Timothy Dillivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.