Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY JAY ICENHOWER, D.D.S.
Active Sole ProprietorDR. TIMOTHY JAY ICENHOWER, D.D.S. is a Dentist healthcare provider located in PLANO, Texas. NPI 1770540866 is currently active in the NPPES registry. Verify at CMS.
Dentist · PLANO, TX
Registration Details
- NPI Number
- 1770540866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.247401504875 yrs)
- Last Updated
- May 6, 2025
- License
-
17200 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 18TH ST STE 400PLANO, TX, 750745902Browse TX providers · Browse ZIP 75074
- Phone
- 9723793359
- Fax
- 9727673289
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PLANO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. PAMELA A MOORE | DDS | 1851390900 |
| DR. JAMES RICHARD PARDOE | D.D.S. | 1467476523 |
| DR. DENISE FREEMAN MCGRADE | D.D.S. | 1952325912 |
| DR. AHMAD TEHRANI | DDS | 1033129051 |
| DR. BOBBY JIVNANI | DDS | 1962503607 |
| DR. JASON LEE MONTGOMERY | DDS | 1962593939 |
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.