Timothy James Bouressa, D.D.S.

General Practice Dentistry · Kimberly, WI

Individual Active NPI

NPI number 1922296466

Practice location

500 W 3rd St
Pob 96
Kimberly, WI 54136-1305
Phone
(920) 788-4201

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NPI record

NPI
1922296466
Entity type
Individual (Type 1)
Enumeration date
October 10, 2007
Last updated
October 10, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3929 WI

About Dr. Bouressa

Timothy James Bouressa, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 500 W 3rd St, Pob 96, Kimberly, WI 54136-1305. The NPI number 1922296466 was assigned on October 10, 2007 and the record was last updated on October 10, 2007.

Dr. Bouressa lists a license in the registry: #3929 (WI) 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 Timothy James Bouressa, D.D.S.?

The NPI number is 1922296466.

What is the phone number of Dr. Bouressa?

The phone number listed for the practice location is (920) 788-4201.

Where is Dr. Bouressa located?

500 W 3rd St, Pob 96, Kimberly, WI 54136-1305.

What is the taxonomy code for Dr. Bouressa?

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.

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