Individual provider · Type 1 NPI

Tim Gough, DDS

Dentist · Parkville, MD

NPI number 1104483791 Active

Practice location

9010 Harford Rd
Parkville, MD 21234-4033

Fax (410) 665-9008

Mailing address

2410 Ravenview Rd
Timonium, MD 21093-2716

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X17197 (MD)

Dentist: 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 requiremen…

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About NPI 1104483791

Tim Gough, DDS's National Provider Identifier is 1104483791, issued on May 20, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Parkville, MD. The record was last updated on Nov 22, 2019.