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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TIMOTHY MICHAEL WAHL D.M.D.
NPI 1619972668
Dentist - Periodontics in Merritt Island, FL

Active since June 16, 2005
190 S SYKES CREEK PKWY, STE 2, MERRITT ISLAND, FL 32952(321) 459-0154(321) 459-0739 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy Michael Wahl D.m.d. NPPES

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

DR. TIMOTHY MICHAEL WAHL D.M.D. (NPI 1619972668) is an individual periodontics provider in Merritt Island, Florida, licensed in Florida (DN9499) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1619972668
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TIMOTHY MICHAEL WAHLCredential: D.M.D.
Location Address190 S SYKES CREEK PKWY, STE 2Merritt Island, FL 32952-3572
Mailing Address190 S Sykes Creek Pkwy, Ste 2Merritt Island, FL 32952-3572 · (321) 459-0154 · Fax (321) 459-0739
Phone(321) 459-0154
Fax(321) 459-0739
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1619972668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN9499
Definition
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.
190 S SYKES CREEK PKWY, Merritt Island, FL 32952
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Other Identifiers 1

OtherDN9499FL · State Dental License

Accepted Insurance

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

BREVARD PAIN CARE PA
Specialist
190 S SYKES CREEK PKWY, SUITE 1
MERRITT ISLAND, FL 32952
Brevard County (321) 455-6353
MAHMOUD A EL-TOBGUI M.D.
Specialist
190 S SYKES CREEK PKWY
MERRITT ISLAND, FL 32952
Brevard County (321) 455-6353
RESTORATION MEDICINE LLC
Obstetrics & Gynecology (Gynecology)
190 S SYKES CREEK PKWY, SUITE #3
MERRITT ISLAND, FL 32952
Brevard County (321) 305-6254
BREVARD PAIN CARE, PA
Specialist
190 S SYKES CREEK PKWY, SUITE 1
MERRITT ISLAND, FL 32952
Brevard County (321) 455-6353
ASH DERMATOLOGY & SKIN CANCER CENTER, PA
Dermatology
190 S SYKES CREEK PKWY, SUITE 3
MERRITT ISLAND, FL 32952
Brevard County (321) 986-9335

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 Timothy Wahl's NPI number?

The NPI number for Timothy Wahl is 1619972668. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Timothy Wahl located?

Timothy Wahl practices at 190 S Sykes Creek Pkwy Ste 2, Merritt Island, FL 32952. The listed phone number is (321) 459-0154.

What is Timothy Wahl's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Timothy Wahl accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Timothy Wahl 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 Timothy Wahl was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.