DR. TIMOTHY JAY ICENHOWER (NPI# 1770540866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770540866 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAY ICENHOWER |
| Credential | D.D.S. |
| Practice Address |
1212 Coit Rd Suite 107 Plano TX 75075-7740 |
| Practice Telephone | 9726730304 |
| Practice Fax Number | 9726730343 |
| Mailing Telephone | 9726730304 |
| Mailing Fax Number | 9726730343 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17200 | TX | Dental Providers |
| Street Address |
1212 COIT RD SUITE 107 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-7740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033695747 | Lauren Roth | Counselor | 1212 Coit Rd, Plano, TX 75075-7740 | 2018-07-16 |
| 1740645068 | Wei-cheng Huang | Acupuncturist | 1212 Coit Rd, Suite 108, Plano, TX 75075-7740 | 2015-12-31 |
| 1669759460 | Ez Sleep Medical Clinic Corporation | Clinic/Center | 1212 Coit Rd, Suite 112, Plano, TX 75075-7740 | 2011-11-08 |
| 1861553448 | Michael R Martin | Chiropractor | 1212 Coit Rd, Suite 101, Plano, TX 75075-7740 | 2006-12-13 |
| 1326109919 | Michael R Martin Dc PC | Chiropractor | 1212 Coit Rd, Suite 101, Plano, TX 75075-7740 | 2006-12-13 |
| 1942312657 | Oscar Presas Jr. | Chiropractor | 1212 Coit Rd, Suite 101, Plano, TX 75075-7740 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1205473139 | Mahdiya I Ahmed | Dentist | 2831 W 15th St # 200, Plano, TX 75075-7527 | 2019-12-10 |
| 1548828171 | Sonya Berriche | Dentist | 6202 W Park Blvd, Plano, TX 75093-6200 | 2019-05-29 |
| 1528622693 | Tc Dental Pa | Dentist | 5938 W Parker Rd Ste 200, Plano, TX 75093-6416 | 2019-04-24 |
| 1184199390 | Kasra Dabeshlim | Dentist | 101 W Spring Creek Pkwy Ste 732, Plano, TX 75023-4631 | 2018-10-04 |
| 1134636574 | Shurouk Zakia Azzo | Dentist | 7516 Trevino Dr, Plano, TX 75025-6129 | 2018-01-08 |
| 1417477605 | Kathryn Lyn James | Dentist | 6317 Preston Rd Ste 500, Plano, TX 75024-2677 | 2017-06-20 |
| 1659803112 | Aduddell Dentistry Pllc | Dentist | 1300 Medical Ave Ste 101, Plano, TX 75075-7798 | 2017-04-03 |
| 1033641675 | Smile Strong Dental, Pllc | Dentist | 1921 W 15th St, Suite 100, Plano, TX 75075-7337 | 2017-04-02 |
| 1891236204 | Dash Dental Associates Pllc | Dentist | 2220 Coit Rd Ste 570, Plano, TX 75075-3710 | 2017-03-17 |
| Find all providers in PLANO | ||||
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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.