Timothy E. Gardner, D.D.S., LTD., L.L.P.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16499 Issued in TX

Legal business name

TIMOTHY E. GARDNER, D.D.S., LTD., L.L.P.

Practice address

2210 N Frazier St
Conroe, TX 77303-1780

Phone

(936) 539-3636

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Gardner, DDSNPI 1104043942

Title

Owner

Phone

(936) 539-3636

Specialties & licenses 1

Addresses

Other names 1

• Conroe Comprehensive Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Elmer Gardner, DDS

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1104043942
  NPD (past) Authorized official

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114443207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 N FRAZIER ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773031780",
            "telephone_number": "936-539-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N FRAZIER ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773031780",
            "telephone_number": "936-539-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY E. GARDNER, D.D.S., LTD., L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-539-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conroe Comprehensive Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Timber Loop Emergency Physicians, PLLC
• Naomi Leigh Timm, LPC-INTERN
• Edgar A Timtiman Jr., PTA
• Tiny Transitions Therapy Consulting PLLC
• TMC Orthopedic LP
• TMC Provider Group, PLLC
• TMH Physician Associates PLLC

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.