Active NPI 1154842516 Individual Practitioner Male Practitioner

Timothee Gansore

Dentist - General Practice • Jacksboro, TN

Professional Overview & Biography Verified Profile Summary

Timothee Gansore is a registered healthcare professional specializing in Dentist - General Practice in Jacksboro, TN. Practice services are available at 1138 MAIN ST UNIT C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1138 Main St Unit C

Jacksboro, TN 377572582

Telephone 4232019917

Fax 4233771069

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksboro, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Jacksboro, TN (2175 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: 2021-10-13

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN 10591

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 13, 2021

Registered at 1138 MAIN ST UNIT C, JACKSBORO, TN 377572582 (Tel: 4232019917)

📍

Updated Business Mailing Address October 13, 2021

Registered at 1138 MAIN ST UNIT C, JACKSBORO, TN 377572582 (Tel: 4232019917)

📍

Updated Practice Location October 19, 2020

Registered at 474 INDUSTRIAL LN, ONEIDA, TN 378416294 (Tel: 4232868600)

📍

Updated Business Mailing Address October 19, 2020

Registered at 474 INDUSTRIAL LN, ONEIDA, TN 378416294 (Tel: 4235693800)

✅

NPI Profile Active July 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2017

Registered at 460 INDUSTRIAL LN, ONEIDA, TN 378416294 (Tel: (304) 575-1118)

📍

Updated Business Mailing Address July 06, 2017

Registered at 460 INDUSTRIAL LN, ONEIDA, TN 378416294 (Tel: 3045751118)

👤

Provider Name / Credentials Updated July 06, 2017

Recorded as TIMOTHEE GANSORE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2017

Dentist (License #10591 in TN)

🟢

Initial NPI Registration & Enumeration July 06, 2017

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: 1154842516

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2017

Last Update: October 13, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1138 Main St Unit C

Jacksboro, TN 377572582

Phone: 4232019917

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.