Individual provider · Type 1 NPI
Timothy Michael Wahl, DMD
Periodontics · Merritt Island, FL
NPI number
1619972668
Active
Practice location
190 S Sykes Creek Pkwy, Ste 2
Merritt Island, FL 32952-3572
Fax (321) 459-0739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN9499 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5 other providers at this address
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- Restoration Medicine LLCGynecology Physician Merritt Island, FL NPI 1386975415
- Mahmoud A. El-Tobgui, MDSpecialist Merritt Island, FL NPI 1255463709
About NPI 1619972668
Timothy Michael Wahl, DMD's National Provider Identifier is 1619972668, issued on Jun 16, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Merritt Island, FL. The record was last updated on Jul 13, 2026.