DR. TIMOTHY ALLEN MITCHENER (NPI# 1609889864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609889864 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ALLEN MITCHENER |
| Credential | D.M.D., M.P.H. |
| Practice Address |
5158 Black Hawk Rd Gunpowder MD 21010-5403 |
| Practice Telephone | 4104365001 |
| Mailing Telephone | 4104365001 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DS0000004875 | TN | Dental Providers |
| Street Address |
5158 BLACK HAWK RD |
| City | GUNPOWDER |
| State | MD |
| Zip Code | 21010-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528059037 | Kimberly Ann Beck | Preventive Medicine | 5158 Black Hawk Rd, E1570, Gunpowder, MD 21010-5403 | 2005-11-03 |
| 1144552514 | Roger Gregory Mcintosh | Preventive Medicine | 5158 Black Hawk Rd, Bldg E-1570, Gunpowder, MD 21010-5403 | 2010-02-09 |
| 1457408379 | Deanna Harkins | Preventive Medicine | 5158 Black Hawk Rd, E1570, Gunpowder, MD 21010-5403 | 2007-01-04 |
| 1245336189 | Thomas S. Garrido | Optometrist | 5158 Black Hawk Rd, E-1570, Mchb-ph-vcr (maj Garrido), Gunpowder, MD 21010-5403 | 2006-09-16 |
| 1477522563 | Ronald Dudley Ross | Preventive Medicine | 5158 Black Hawk Rd, Usa Chppm, Gunpowder, MD 21010-5403 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144481128 | Joseph S. Jones | Preventive Medicine | Army Public Health Command, 5158 Black Hawk Rd, Gunpowder, MD 21010 | 2008-06-23 |
| 1104980150 | Bonnie J Parham | Licensed Practical Nurse | 4110 Austin Road, Gunpowder, MD 21010 | 2006-12-21 |
| 1649214735 | John Hill Barker Jr. | Dentist | Bldg. E4110, Austin Road, Edgewood Dental Clinic, Apg Edgewood Area, MD 21010 | 2006-06-16 |
| 1093910374 | Kimbrough Acc Military Mtf | Clinic/Center | 4110 Austin Road, Aberdeen Proving Ground, MD 21010 | 2007-06-18 |
| 1770686636 | James Malcolm Madsen | Pathology | 3100 Ricketts Point Rd, Usamricd, Attn: Mcmr-cdm (col Madsen), Gunpowder, MD 21010-5400 | 2006-09-06 |
| 1063572501 | Charles Gary Hurst | Dermatology | 3100 Ricketts Point Rd, Gunpowder, MD 21010-5400 | 2006-12-12 |
| 1013064666 | Sally Siefert Hoedebecke | Dietitian, Registered | 5158 Black Hawk Rd Bldg E1930, Aberdeen Proving Ground, MD 21010-5403 | 2007-01-05 |
| 1578543062 | Michael Duane Pattison | Optometrist | Tsvcrd, Aphc, Attn: Mchb-ph-vcr, 8252 Blackhawk Road, Aberdeen Proving Ground, MD 21010-5403 | 2006-01-19 |
| 1619025632 | Vivian Carol Rush | Preventive Medicine | Usachppm, Mchb-ts-mem(rush), Apg, MD 21010-5422 | 2007-01-08 |
| 1225097256 | James Patrick Gerkin Sr. | Registered Nurse | 5183 Black Hawk Rd, Aberdeen Proving Ground, MD 21010-5424 | 2006-03-20 |
| Find all providers in zip 21010 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864263 | Belinda A Forbes | Dentist | 8213 Flower Ave, Takoma Park, MD 20912-6858 | 2020-02-28 |
| 1083275077 | Catholic Charities Archdiocese of Washington | Dentist | 5859 Allentown Way, Temple Hills, MD 20748-2613 | 2019-06-21 |
| 1902318769 | Vanessa Gordon D. D, S | Dentist | 9131 Piscataway Rd Ste 210, Clinton, MD 20735-2578 | 2017-11-01 |
| 1528585247 | Michael Mendelson | Dentist | 4351 Garden City Dr, Landover, MD 20785-2223 | 2017-08-23 |
| 1720403280 | Janice De Vito | Dentist | 3700 Toone St, #1412, Baltimore, MD 21224-5173 | 2014-02-20 |
| 1215378385 | Cecelia Noel Calhoun-wells | Dentist | 14015 New Hampshire Ave, Silver Spring, MD 20904-6200 | 2013-07-17 |
| 1841557915 | Bramaramba Sruthi Paimagham | Dentist | 20680 Seneca Meadows Pkwy Ste 218, Germantown, MD 20876 | 2012-04-13 |
| 1154655884 | Calvert Memorial Hospital of Calvert County | Dentist | 11840 Hg Trueman Rd, Lusby, MD 20657-2999 | 2009-09-29 |
| 1922332659 | Calvert Memorial Hospital of Calvert County | Dentist | 2553 N Solomons Island Rd, Huntingtown, MD 20639 | 2009-09-29 |
| 1114155694 | Prince George's County Health Department | Dentist | 3003 Hospital Dr Ste 1048, Cheverly, MD 20785-1194 | 2009-06-23 |
| Find all providers with the same taxonomy | ||||
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| 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.