Timothy Davis Gunnin, DDS
Individual provider Active NPI Dentist · Rogersville, TN
NPI 1952464232 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952464232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7431 (TN)
- Practice address
- 110 South Hasson St
Rogersville, TN 37857 - Phone
- (423) 272-5353
- Fax
- (423) 272-0047
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|
| 7431 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy D. Gunnin, D.D.S., P.C. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7431 | TN | Yes |
Addresses
Primary practice location
110 South Hasson St
Rogersville, TN 37857
Mailing address
110 South Hasson St
Rogersville, TN 37857
Phone (423) 272-5353
Other providers in Rogersville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.