Timothy Balzen
Individual provider Active NPI General Practice Dentistry · Linn, MO
NPI 1467156174 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1467156174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2025040537 (MO)
- Practice address
- 1217 E Main St
Linn, MO 65051-9634 - Phone
- (208) 914-5752
- NPI assigned
- Mar 28, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025040537 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Family Dentistry LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2025040537 | MO | Yes |
Addresses
Primary practice location
1217 E Main St
Linn, MO 65051-9634
Mailing address
1217 E Main St
Linn, MO 65051-9634
Phone (573) 897-2388
Other providers in Linn, MO
- Lois Christine Aquino
- Arbor Ridge Residential, LLC
- Amber Shirley Backes
- Michelle R Barg
- Capital Region Medical Center
- Samantha Casteel
- Community Health Ctr of Central Missouri
- Core Family Dentistry LLC
All providers in Linn, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.