DR. CLINTON SCOTT TIMMERMAN DDS NPI 1598958548

NPI Information

NPI: 1598958548
Provider Name: DR. CLINTON SCOTT TIMMERMAN, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
410 MACON AVE
CANON CITY, CO
ZIP 81212
Phone: (719) 276-0117
Get Directions

DR. Clinton Scott Timmerman, DDS is a general practice dentist in Canon City, CO. The provider is 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. DR. Clinton Scott Timmerman, DDS NPI is 1598958548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

410 MACON AVE
CANON CITY, CO
ZIP 81212-225
Phone: (719) 276-0117

The NPI 1598958548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DE60046233	WASHINGTON	No
2	1223G0001X	Dentist	General Practice	08515	IOWA	No
3	1223G0001X	Dentist	General Practice	57971	CALIFORNIA	No
4	1223G0001X	Dentist	General Practice	DEN.00010745	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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