Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770540866 Individual Practitioner Male Practitioner

Dr. Timothy Jay Icenhower , DDS

Dentist • Plano, TX

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Icenhower, DDS is a registered healthcare professional specializing in Dentist in Plano, TX. Practice services are available at 1000 18TH ST STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 18th St Ste 400

Plano, TX 750745902

Telephone 9723793359
Fax 9727673289

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
114 Specialists

Practicing in Plano, TX (6851 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: 2025-05-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 17200

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.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 06, 2025

Registered at 1000 18TH ST STE 400, PLANO, TX 750745902 (Tel: 9723793359)

📍
Updated Business Mailing Address May 06, 2025

Registered at 1000 18TH ST STE 400, PLANO, TX 750745902 (Tel: 9723793359)

📍
Updated Practice Location September 14, 2021

Registered at 3401 CUSTER RD STE 102, PLANO, TX 750237546 (Tel: 4695430335)

📍
Updated Business Mailing Address September 14, 2021

Registered at 3401 CUSTER RD STE 102, PLANO, TX 750237546 (Tel: 4695430335)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1212 COIT RD, SUITE 107, PLANO, TX 750757740 (Tel: 9726730304)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1212 COIT RD, SUITE 107, PLANO, TX 750757740 (Tel: 9726730304)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY ICENHOWER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17200 in TX)

🟢
Initial NPI Registration & Enumeration May 01, 2006

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: 1770540866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: May 06, 2025
Sole Proprietor: Yes

Mailing Address

1000 18th St Ste 400

Plano, TX 750745902

Phone: 9723793359

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.