Timothee Gansore

General Practice Dentistry · Jacksboro, TN

Individual Active NPI

NPI number 1154842516

Practice location

1138 Main St Unit C
Jacksboro, TN 37757-2582
Phone
(423) 201-9917
Fax
(423) 377-1069

Open in Google Maps

NPI record

NPI
1154842516
Entity type
Individual (Type 1)
Enumeration date
July 6, 2017
Last updated
October 13, 2021
Certified
October 13, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10591 TN

About Timothee Gansore

Timothee Gansore is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1138 Main St Unit C, Jacksboro, TN 37757-2582. The NPI number 1154842516 was assigned on July 6, 2017 and the record was last updated on October 13, 2021.

Timothee Gansore lists a license in the registry: #10591 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothee Gansore?

The NPI number is 1154842516.

What is the phone number of Timothee Gansore?

The phone number listed for the practice location is (423) 201-9917.

Where is Timothee Gansore located?

1138 Main St Unit C, Jacksboro, TN 37757-2582.

What is the taxonomy code for Timothee Gansore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Jacksboro

All General Practice Dentistry providers in Jacksboro, TN →