Timothy R. Garofolo, DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

50912 Issued in CA

Legal business name

TIMOTHY R. GAROFOLO, DDS INC

Practice address

11610 Iberia PL Ste 202
San Diego, CA 92128-2453

Phone

(858) 451-2555

NPI assigned

Jul 17, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy R Garofolo

Title

Owner/Dentist

Phone

(858) 451-2555

Specialties & licenses 1

Addresses

Other names 1

• San Diego Dentistry Studio Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1043627318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 IBERIA PL STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282453",
            "telephone_number": "858-451-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 IBERIA PL STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282453",
            "telephone_number": "858-451-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R. GAROFOLO, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "GAROFOLO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "858-451-2555"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Dentistry Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Margrette Timog, NP
• Theresa Cooney Timony, PMHNP-BC
• Timothy H. Rayner, M.D., a Medical Corporation
• Timothy L Cannis MD Inc
• Timothy R. Dooley, M.D., Professional Corporation
• Timothy Tien DDS PC
• Darrell Timpa, IDC
• Beth K Timpe, CNMW
• Devin Timpson, PT, DPT
• Thalie Marissa Timsit, PA-C

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.