DR. TIMOTHY JAMES BOURESSA (NPI# 1922296466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922296466 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES BOURESSA |
| Credential | D.D.S. |
| Practice Address |
500 W 3rd St Pob 96 Kimberly WI 54136-1305 |
| Practice Telephone | 9207884201 |
| Mailing Telephone | 9207884201 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3929 | WI | Dental Providers |
| Street Address |
500 W 3RD ST POB 96 |
| City | KIMBERLY |
| State | WI |
| Zip Code | 54136-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689361 | Hsl 15, LLC | Assisted Living Facility | 2795 Village Square Drive, Hartland, WI 54136 | 2020-05-04 |
| 1356417067 | James Robert Boots | Chiropractor | 1020 Truman Street, Suite B, Kimberly, WI 54136 | 2006-11-27 |
| 1568572477 | Glen E Rooyakkers | Chiropractor | 702 Eisenhower Drive, Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1225148133 | Tri County Chiropractic Sc | Chiropractor | 702 Eisenhower Drive Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1548273808 | Edward Theodore Bekx | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1477583870 | Joseph C Ferraro | Dentist | 1037-b Truman St., Kimberly, WI 54136 | 2006-07-03 |
| 1770964124 | Building Hope Therapy Services LLC | Occupational Therapist | 1113 W Kennedy Ave Ste E, Kimberly, WI 54136 | 2015-06-11 |
| 1770693681 | Wanda J Rooyakkers | Chiropractor | 702 Eisenhower Drive, Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1790798056 | Kimberly Dental Associates LLP | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1407869761 | Robert Alan Magnin | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| Find all providers in zip 54136 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700241890 | Infinity Dental Pllc | Dentist | 622 Center St W, Kimberly, ID 83341-1720 | 2015-12-16 |
| 1770769325 | Kent J Allen/ Shannon Widmier | Dentist | 702 Center St W, Kimberly, ID 83341 | 2008-01-14 |
| 1750430088 | Daniel Allen Larson | Dentist | 317 E Kimberly Ave, Kimberly, WI 54136-1406 | 2007-01-09 |
| 1407954191 | Kent J. Allen | Dentist | 702 Center Street West, Kimberly, ID 83341 | 2006-09-20 |
| 1548273808 | Edward Theodore Bekx | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1477583870 | Joseph C Ferraro | Dentist | 1037-b Truman St., Kimberly, WI 54136 | 2006-07-03 |
| 1215124862 | Callie Irene Romenesko | Dentist | 1020 Truman St, Unit A, Kimberly, WI 54136-2215 | 2007-09-27 |
| 1215066626 | James Patrick Meyer | Dentist | 1020 Truman St, Suite A, Kimberly, WI 54136-2211 | 2007-03-02 |
| 1396842779 | Shannon Widmier | Dentist | 702 Center Street West, Kimberly, ID 83341 | 2006-09-20 |
| 1790798056 | Kimberly Dental Associates LLP | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| Find all providers in KIMBERLY | ||||
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| 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.