IndividualActive
Timothy Yan
NPI 1154259356 · General Practice Dentistry · Lawton, OK
Provider details
- NPI number
- 1154259356
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 862280 (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4301 Wilson St
Lawton, OK 73503-4472
Phone: (833) 286-3732
Approximate (ZIP-level) locationGet directions
Mailing address
9630 Susies Way
Ellicott City, MD 21042-2308
Registry dates
- Enumerated
- 2026-05-11
- Last updated
- 2026-05-11
- Certified
- 2026-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.