Dr. Timothy Jay Icenhower is a Plano, Texas 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. Timothy Jay Icenhower is 17200 for Dentistry in Texas. His current practice location is 3401 Custer Rd Ste 102, Plano. Patients can reach him at 469-543-0335.
Dr. Timothy Jay Icenhower 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. Timothy Jay Icenhower 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. Timothy Jay Icenhower
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
3401 Custer Rd Ste 102, Plano, Texas, 75023-7546
Phone:
469-543-0335
Fax:
972-767-3289
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:
1770540866
NPI Enumeration Date:
01 May, 2006
NPI Last Update On:
14 Sep, 2021
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. Timothy Jay Icenhower are as mentioned below.
License Number
Specialization
State
Status
17200
Dentistry
Texas
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3401 Custer Rd Ste 102, Plano, Texas
Zip:
75023-7546
Phone Number:
469-543-0335
Fax Number:
972-767-3289
Patients can reach Dr. Timothy Jay Icenhower at 3401 Custer Rd Ste 102, Plano, Texas or can call to book an appointment on 469-543-0335. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.