DR. TIMOTHY JAMES HANNON DDS NPI 1114066727

NPI Information

NPI: 1114066727
Provider Name: DR. TIMOTHY JAMES HANNON, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 39 DELAWARE RD
BUFFALO, NY
ZIP 14217
Phone: (716) 874-9981

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NPI Details

DR. Timothy James Hannon, DDS is a general practice dentist in Buffalo, NY. The provider is 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. DR. Timothy James Hannon, DDS NPI is 1114066727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39 DELAWARE RD
BUFFALO, NY
ZIP 14217-742
Phone: (716) 874-9981

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	046318	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02259061	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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