IndividualActive
Robert Timothy, D.D.S.
NPI 1811953276 · Oral and Maxillofacial Radiology Dentistry · Montpelier, ID
Provider details
- NPI number
- 1811953276
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D-3060 (ID)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
215 S 4th St
Montpelier, ID 83254-1591
Phone: (208) 847-0153
Approximate (ZIP-level) locationGet directions
Mailing address
215 S 4th St
Montpelier, ID 83254-1591
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.