DR. TIMOTHY F. CRISP D.M.D. NPI 1275671208

NPI Information

  • NPI: 1275671208
  • Provider Name: DR. TIMOTHY F. CRISP, D.M.D.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 11 CANARY LN
    WINCHESTER, KY
    ZIP 40391
  • Phone: (859) 744-7031

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NPI Details

DR. Timothy F. Crisp, D.M.D. is a pediatric dentistry dentist in Winchester, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Timothy F. Crisp, D.M.D. NPI is 1275671208. 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:

11 CANARY LN
WINCHESTER, KY
ZIP 40391-645
Phone: (859) 744-7031
Fax: (859) 744-9175

The enumeration date for this NPI number is 2/2/2007 and was last updated on 4/20/2015.

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
1122300000XDentist6359KENTUCKYNo
21223S0112XDentistOral and Maxillofacial Surgery6359KENTUCKYNo
31223P0221XDentistPediatric Dentistry6359KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
160063591MEDICAIDKENTUCKY

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: 3/30/2025

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