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DR. TIM MICAH SUPIN D.M.D.
NPI 1538362256
Dentist in Vancouver, WA

Active since June 08, 2007
1412 NE 88TH ST, VANCOUVER, WA 98665(360) 574-4074 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tim Micah Supin D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIM MICAH SUPIN D.M.D. (NPI 1538362256) is an individual dentist in Vancouver, Washington, licensed in Washington (DE00010813) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1538362256
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TIM MICAH SUPINCredential: D.M.D.
Location Address1412 NE 88TH STVancouver, WA 98665-9620
Mailing Address1412 Ne 88th StVancouver, WA 98665-9620
Phone(360) 574-4074
Sole ProprietorNo
Enumeration DateJune 8, 2007
Last NPPES UpdateJuly 31, 2013
✔ NPI 1538362256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE00010813
Definition
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.
1412 NE 88TH ST, Vancouver, WA 98665
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE GLENN
Dental Hygienist
1412 NE 88TH ST
VANCOUVER, WA 98665
Clark County (360) 574-4074
CHRISTINE Y BARRY DDS
Dentist (General Practice)
1412 NE 88TH ST
VANCOUVER, WA 98665
Clark County (360) 574-4074
JOHN STEPHEN KENNY DDS
Dentist (General Practice)
1412 NE 88TH ST
VANCOUVER, WA 98665
Clark County (360) 574-4074
MARILYN RODRIGUEZ-FERNANDINI DDS
Dentist (General Practice)
1412 NE 88TH ST
VANCOUVER, WA 98665
Clark County (360) 574-4074
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
1412 NE 88TH ST
VANCOUVER, WA 98665
Clark County (360) 574-4074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Supin's NPI number?

The NPI number for Tim Supin is 1538362256. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Tim Supin located?

Tim Supin practices at 1412 NE 88th St, Vancouver, WA 98665. The listed phone number is (360) 574-4074.

What is Tim Supin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tim Supin accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 7 other insurers list Tim Supin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tim Supin was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.