Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538362256 Individual Practitioner Male Practitioner

Dr. Tim Micah Supin , DMD

Dentist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Tim Supin, DMD is a registered healthcare professional specializing in Dentist in Vancouver, WA. Practice services are available at 1412 NE 88TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1412 Ne 88th St

Vancouver, WA 986659620

Telephone 3605744074
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
113 Specialists

Practicing in Vancouver, WA (2853 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00010813

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Michelle Glenn

Dental Hygienist

NPI 1194131045
Dr. Christine Barry , DDS

Dentist - General Practice

NPI 1497832307

Doctor of Dental Surgery

Dr. John Kenny , DDS

Dentist - General Practice

NPI 1750545588

Doctor of Dental Surgery

Dr. Marilyn Rodriguez-Fernandini , DDS

Dentist - General Practice

NPI 1891871349

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2013

Registered at 1412 NE 88TH ST, VANCOUVER, WA 986659620 (Tel: 3605744074)

📍
Updated Business Mailing Address July 31, 2013

Registered at 1412 NE 88TH ST, VANCOUVER, WA 986659620

👤
Provider Name / Credentials Updated July 31, 2013

Recorded as TIM SUPIN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Dentist (License #DE00010813 in WA)

🟢
Initial NPI Registration & Enumeration June 08, 2007

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: 1538362256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: July 31, 2013
Sole Proprietor: No

Mailing Address

1412 Ne 88th St

Vancouver, WA 986659620

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.