DR. TIMOTHY IVAN MCCONNELL (NPI# 1235187501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235187501 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY IVAN MCCONNELL |
| Credential | D.M.D. |
| Practice Address |
100 Berkeley Square Ln Goose Creek SC 29445-2958 |
| Mailing Address |
Po Box 1120 Goose Creek SC 29445-1120 |
| Practice Telephone | 8435535235 |
| Practice Fax Number | 8437978189 |
| Mailing Telephone | 8435535235 |
| Mailing Fax Number | 8437978189 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1759 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Z17599 | 05 | |
| SC | UNITED CONCORDIA INSURANC | 79343 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637281 | Timothy Allen Mcconnell | Acupuncturist | 4205 San Felipe Rd Ste 210, San Jose, CA 95135-1550 | 2018-01-24 |
| 1366527442 | Timothy Michael Mcconnell | Chiropractor | 4324 Martin Way E Ste A, Olympia, WA 98516-5367 | 2006-10-26 |
| 1194323089 | Timothy Mcconnell | Counselor | 1575 Washington St, Watertown, NY 13601-9371 | 2020-10-13 |
| 1063426351 | Timothy B Mcconnell | Orthopaedic Surgery | 8099 Cornell Rd, Cincinnati, OH 45249-2231 | 2006-07-29 |
| 1215990874 | Timothy Mcconnell | Technician, Cardiology | 100 N Academy Ave, Danville, PA 17822-2160 | 2006-04-06 |
| 1821071341 | Timothy P Mcconnell | Dentist | 1858 Crest Rd, Maryville, TN 37804-4305 | 2005-11-29 |
| Street Address |
100 BERKELEY SQUARE LN |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528016573 | Timothy I. Mcconnell D.m.d. P.a. | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2006-05-04 |
| 1700263886 | Goose Creek Imagining, LLC | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2015-04-28 |
| 1083058481 | Emma Bale | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2013-04-29 |
| 1992094536 | Goose Creek Dental Care LLC | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2011-04-05 |
| 1750542569 | Jason Thomas Barganier | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2008-06-24 |
| 1033168885 | David L. Olson, Dmd, Pa | Dentist | 100 Berkeley Square Ln, Pob 1460, Goose Creek, SC 29445-2958 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1457734774 | Andrew Joseph Ponton | Dentist | 122a S Goose Creek Blvd, Goose Creek, SC 29445-3136 | 2015-07-06 |
| 1831453430 | Dental Holdings, PC | Dentist | 130 Saint James Ave, Goose Creek, SC 29445-2941 | 2012-06-27 |
| 1134311830 | Dr. Keith B. Flynn Dmd Pa | Dentist | 1505 Red Bank Rd, Goose Creek, SC 29445-4516 | 2007-08-16 |
| 1790811206 | Richard Joseph Rutecki Jr. | Dentist | 597 Old Mount Holly Rd, Suite 109, Goose Creek, SC 29445-2831 | 2007-02-26 |
| 1508929639 | Thomas Bradley Williams | Dentist | 118 Springhall Dr, Suite B, Goose Creek, SC 29445-5360 | 2006-12-19 |
| 1598824476 | Bobby Gene Gore | Dentist | 513 Red Bank Rd, Goose Creek, SC 29445-4507 | 2006-12-07 |
| 1013945484 | Marshall Vernon Miller | Dentist | 118 S Goose Creek Blvd, Box 38, Goose Creek, SC 29445-3136 | 2006-06-28 |
| 1528016573 | Timothy I. Mcconnell D.m.d. P.a. | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2006-05-04 |
| Find all providers in GOOSE CREEK | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on DR. TIMOTHY IVAN MCCONNELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.