DR. TIMOTHY WALTER PENBERTHY


Address: 509 W Hanley Ave, Suite # 2, Coeur D Alene, ID 83815-8994
Phone: 2086648622

DR. TIMOTHY WALTER PENBERTHY (NPI# 1285786194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285786194
Entity Type Individual
Full Name DR. TIMOTHY WALTER PENBERTHY
Credential D.D.S.
Practice Address 509 W Hanley Ave
Suite # 2
Coeur D Alene
ID 83815-8994
Practice Telephone 2086648622
Mailing Telephone 2086648622
Enumeration Date 2007-01-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
D-1930-EN ID Dental Providers

Office Location

Street Address 509 W HANLEY AVE
SUITE # 2
City COEUR D ALENE
State ID
Zip Code 83815-8994

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194136150 Daniel B. Davidson Dentist 509 W Hanley Ave, Suite 201, Coeur D Alene, ID 83815-8994 2014-05-13
1477850873 Kirk Michael Davidson Dentist 509 W Hanley Ave, Ste. 201, Coeur D Alene, ID 83815-8994 2011-02-21
1922267491 Dr. Bryan Dryden Family Dentistry Clinic/Center 509 W Hanley Ave, Suite 102, Coeur D Alene, ID 83815-8994 2008-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790133163 Christine Lee Stanton Speech-Language Pathologist 3825 N. Blalock Drive, Coeur D'alene, ID 83815 2016-05-26
1578921961 Kayla Wearne Speech-Language Pathologist 917 W Canfield Avenue, Coeur D'alene, ID 83815 2016-02-01
1770954794 William Strong Speech-Language Pathologist 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 2015-10-16
1235517079 Denny Bordeaux Emergency Medical Technician, Paramedic 7294 Downing Lane, Coeur D Alene, ID 83815 2015-05-13
1689075657 Barbara Campbell Pharmacist W 201 Neider Rd., Coeur D'alene, ID 83815 2014-09-10
1710313671 Sean Cooper Pharmacist W. 201 Neider Rd., Coeur D' Alene, ID 83815 2013-09-23
1275871329 Lake City Dental Dentist 6176 Government Way, Coeur D'alene, ID 83815 2013-01-24
1881972701 A Better Personal Care Inc In Home Supportive Care 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 2011-07-26
1013206895 Robert Sperry Pharmacist 41650 W Maricopacg Hwy., Maricopa, AZ 83815 2011-04-01
1629304670 Marciea W. Buckley Social Worker 109 Harrison Ave, Coeur D' Alene, ID 83815 2009-10-27
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275848582 Shaun Michael Whitney Dentist 1322 W Kathleen Ave Ste 2, Coeur D Alene, ID 83815-7365 2010-08-11
1972660769 Northwest Endodontics PC Dentist 509 W Hanley, Ste 202, Coeur D Alene, ID 83815 2007-01-02
1356693915 Lake City Dental Specialties, PC Dentist 1322 W Kathleen Ave Ste 2, Coeur D Alene, ID 83815-7365 2012-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1417353830 Blue Creek Endodontics Dentist 3240 E Louise Dr, Suite 110, Meridian, ID 83642-5107 2014-11-12
1831435460 James Anthony Eaton Dentist 3240 E Louise Dr # 110, Meridian, ID 83642-5107 2013-01-01
1174888473 Dean Philip Whiting Dentist 602 North Calgary Court, 301, Post Falls, ID 83854 2012-07-12
1437455961 Herbert Ray Blaser Dentist 2104 N. Cole Rd., Boise, ID 83704 2011-02-01
1295035020 Dustin Lee Gatten Dentist 602 N Calgary Ct Ste 301, Post Falls, ID 83854-4000 2010-10-27
1497918809 Stanton D Widmer Dentist 4207 Clocktower Ave., Caldwell, ID 83607-5236 2008-07-07
1912113036 Matthew R Buhrley Dentist 742 W Cherry Ln, Meridian, ID 83642-1617 2007-05-15
1659590693 Bart Baty Morrison Dentist 3335 S Holmes Ave, Idaho Falls, ID 83404-7981 2007-04-25
1396961157 Larue Antoine Bluth Dentist 5244 N Eagle Rd, Boise, ID 83713-0945 2007-04-18
Find all providers with the same taxonomy

Competitor

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City COEUR D ALENE
Zip Code 83815

Improve Information

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Dataset Information

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.

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