Dr. Tim Micah Supin is a Vancouver, Washington based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Tim Micah Supin is
DE00010813 for Dentistry in Washington. His current practice location is
1412 Ne 88th St, Vancouver. Patients can reach him at
360-574-4074.
Dr. Tim Micah Supin is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Tim Micah Supin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Tim Micah Supin |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1412 Ne 88th St, Vancouver,
Washington, 98665-9620 |
| Phone: | 360-574-4074 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1538362256 |
| NPI Enumeration Date: | 08 Jun, 2007 |
| NPI Last Update On: | 31 Jul, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tim Micah Supin are as mentioned below.
| License Number | Specialization | State | Status | |
| DE00010813 | Dentistry | Washington | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1412 Ne 88th St,
Vancouver, Washington |
| Zip: | 98665-9620 |
Patients can reach Dr. Tim Micah Supin at
1412 Ne 88th St, Vancouver, Washington or can
call to book an appointment on 360-574-4074.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.