Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508247206 Individual Practitioner Male Practitioner

Dr. Timothy Whaley , DDS

Dentist • Ellenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Whaley, DDS is a registered healthcare professional specializing in Dentist in Ellenton, FL. Practice services are available at 5947 FACTORY SHOPS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5947 Factory Shops Blvd

Ellenton, FL 342224125

Telephone 9414797936
Associated Practice Facility / Clinic
🏢 Tdn Dentistry, Pllc Facility NPI 1548984453

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ellenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Ellenton, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 21312

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License FL DN 21312

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1508247206 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 10, 2022

Registered at 5947 FACTORY SHOPS BLVD, ELLENTON, FL 342224125 (Tel: 9414797936)

📍
Updated Business Mailing Address August 10, 2022

Registered at 1019 S OSPREY AVE, SARASOTA, FL 342368432 (Tel: 3024480336)

NPI Profile Active June 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2015

Registered at 6759 1ST AVE S, ST PETERSBURG, FL 337071307 (Tel: 7273811642)

📍
Updated Business Mailing Address June 18, 2015

Registered at 5443 BAYOU GRANDE BLVD NE, ST PETERSBURG, FL 337031811 (Tel: 3024480336)

👤
Provider Name / Credentials Updated June 18, 2015

Recorded as TIMOTHY WHALEY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2015

Dentist (License #DN 21312 in FL)

🟢
Initial NPI Registration & Enumeration June 18, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508247206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2015
Last Update: August 10, 2022
Sole Proprietor: No

Mailing Address

1019 S Osprey Ave

Sarasota, FL 342368432

Phone: 3024480336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.