Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275614547 Individual Practitioner Male Practitioner

Dr. Timothy I. Dillivan , DDS

Dentist - General Practice • Muskegon, MI

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Dillivan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Muskegon, MI. Practice services are available at 3535 PARK ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3535 Park St Ste 102

Muskegon, MI 494443736

Telephone 2317392152
Fax 2317331472

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Muskegon, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
42 Specialists

Practicing in Muskegon, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 13296

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4064347 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jeffrey Colburn , DDS

Dentist - General Practice

NPI 1538218334

Doctor of Dental Surgery

Dr. Magda Litynski , DDS

Dentist - General Practice

NPI 1598881427

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3535 PARK ST STE 102, MUSKEGON, MI 494443736 (Tel: 2317392152)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3535 PARK ST STE 102, MUSKEGON, MI 494443736 (Tel: 2317392152)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY DILLIVAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #13296 in MI)

🟢
Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275614547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3535 Park St Ste 102

Muskegon, MI 494443736

Phone: 2317392152

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.