IndividualActive
Timothy Wahl, D.M.D.
NPI 1619972668 · Periodontics · Merritt Island, FL
Provider details
- NPI number
- 1619972668
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- License
- DN9499 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES 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
190 S Sykes Creek Pkwy
Ste 2
Merritt Island, FL 32952-3572
Phone: (321) 459-0154
Fax: (321) 459-0739
Street-level locationGet directions
Mailing address
190 S Sykes Creek Pkwy
Merritt Island, FL 32952-3572
Registry dates
- Enumerated
- 2005-06-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.