DR. TIMOTHY GLOMB (NPI# 1255450870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255450870 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY GLOMB |
| Practice Address |
2808 Enterprise Rd Ste. 102 Debary FL 32713-2753 |
| Practice Telephone | 3866687776 |
| Mailing Telephone | 3866687776 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN0013437 | FL | Dental Providers |
| Street Address |
2808 ENTERPRISE RD STE. 102 |
| City | DEBARY |
| State | FL |
| Zip Code | 32713-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689748345 | Deepak Tikku | Specialist | 2808 Enterprise Rd, Suite 104, Debary, FL 32713-2753 | 2006-11-17 |
| 1518326503 | Advantacare Multi-specialty Group, LLC | Physical Medicine & Rehabilitation | 2808 Enterprise Rd, Suite 105, Debary, FL 32713-2753 | 2016-02-18 |
| 1992088009 | Neurology Center of Florida LLC | Specialist | 2808 Enterprise Rd, Suite 104, Debary, FL 32713-2753 | 2011-09-25 |
| 1174852412 | Advantacare of Florida LLC | Specialist | 2808 Enterprise Rd, Suite 105, Debary, FL 32713-2753 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162766 | Jessica Crystal Daigle | Nurse Practitioner | 620 Spring Vista Dr, Ste 101, Debary, FL 32713 | 2020-07-23 |
| 1407320476 | 1st Call Urgent Care | Emergency Medicine | 173 North C.r. Beall Blvd., Suite 106, Debbary, FL 32713 | 2019-01-14 |
| 1073029294 | Ryan Patrick Mcneel | Chiropractor | 100 Pond Court, #103, Debary, FL 32713 | 2017-12-26 |
| 1528589249 | Jennifer Ellen Schaich | Technician, Pathology | 223 Bayou Vista St, Debary, FL 32713 | 2017-07-03 |
| 1083090807 | Home Modification Design, LLC | Home Health | 17 Pleasant Hill Drive, Debary, FL 32713 | 2015-08-04 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1811255680 | Dana Louise Cannon | Massage Therapist | 17 Canter Club Court, Debary, FL 32713 | 2012-04-30 |
| 1811265127 | Orly Tyrkala | Pharmacist | 15 N Highway 1792, Debary, FL 32713 | 2011-12-01 |
| 1225331226 | Teresa Miller | Massage Therapist | 430 Summerhaven Drive, 300, Debary, FL 32713 | 2010-12-13 |
| 1043522857 | Amanda Ellen Lang | Behavioral Analyst | 454 Fort Florida Rd, Debary, FL 32713 | 2010-07-08 |
| Find all providers in zip 32713 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922015718 | Maria A Suarez | Dentist | 75 Fox Ridge Ct, Suite F, Debary, FL 32713-2701 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY GLOMB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.