Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHEE GANSORE
Active Sole ProprietorDR. TIMOTHEE GANSORE is a General Dentistry healthcare provider located in JACKSBORO, Tennessee. NPI 1154842516 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JACKSBORO, TN
Registration Details
- NPI Number
- 1154842516
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2017 (9.1166132896895 yrs)
- Last Updated
- Oct 13, 2021
- License
-
10591 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1138 MAIN ST UNIT CJACKSBORO, TN, 377572582Browse TN providers · Browse ZIP 37757
- Phone
- 4232019917
- Fax
- 4233771069
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in JACKSBORO, TN
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL W NICHOLS | DDS | 1902844731 |
| DR. TIMOTHY MORRIS HALL | DMD | 1043381130 |
| DR. TIMOTHY JOSEPH HALL | D.M.D. | 1912437344 |
| ELISABETH ANNE BELTER | DDS | 1477163863 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.