TIMOTHY W. GIFFORD DDS INC NPI 1689692204

NPI Information

TIMOTHY W. GIFFORD, DDS, INC is a periodontics dentist in San Jose, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. TIMOTHY W. GIFFORD, DDS, INC NPI is 1689692204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5595 WINFIELD BLVD
208
SAN JOSE, CA
ZIP 95123-220
Phone: (408) 578-6400
Fax: (408) 578-0641

The provider's authorized official is Timothy W. Gifford .
The authorized official title is CEO OWNEROwner and has the following contact phone number (408) 578-6400.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2020.

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:

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