Tiffiany Gosnell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12014953A Issued in IN

Practice address

832 Manchester Ave
Wabash, IN 46992-1422

Phone

(260) 563-6332

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of South Carolina, P.C.

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1992397558
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2026.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1104500719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921422",
            "telephone_number": "260-563-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921422",
            "telephone_number": "260-563-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "TIFFIANY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014953A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paolo C Giacomini, MD
• Baylie Madison Giek
• Adam Ray Gillum
• Melissa Glass, MA
• John Terry Godfrey, D.C.
• Linette I Grange, D.O
• Akeem Green
• Michael Lydell Haarer, LMHC
• Stuart Douglass Hall
• Constance Mae Harmon, LMHC

• All providers in Wabash, IN
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.