DR. TIMOTHY SCOTT PAULSON JR. DMD
NPI 1790139749
Dentist in Williams, AZ

Active since April 15, 2016PECOS Enrolled
300 S 6TH ST, WILLIAMS, AZ 86046(928) 635-4441 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy Scott Paulson Jr. Dmd NPPES

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

DR. TIMOTHY SCOTT PAULSON JR. DMD (NPI 1790139749) is an individual dentist in Williams, Arizona, licensed in Arizona (122300000) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Surprise.

NPPES Registry Identity

NPI1790139749
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TIMOTHY SCOTT PAULSON JR.Credential: DMD
Location Address300 S 6TH STWilliams, AZ 86046-0110
Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 522-9879
Sole ProprietorNo
Enumeration DateApril 15, 2016
Last NPPES UpdateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
NPI 1790139749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · 122300000
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.

300 S 6TH ST, Williams, AZ 86046

Secondary Practice Location 1

Location 115229 W Elko DrSurprise, AZ 85374-4469 · Phone (602) 919-5829

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Timothy Scott Paulson Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Family Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Physician Assistant (Medical)
300 S 6TH ST
WILLIAMS, AZ 86046
Clinic/Center (Federally Qualified Health Center (FQHC))
300 S 6TH ST
WILLIAMS, AZ 86046
Internal Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Family Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Nurse Practitioner
300 S 6TH ST
WILLIAMS, AZ 86046
Family Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Counselor (Professional)
300 S 6TH ST
WILLIAMS, AZ 86046

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 Paulson's NPI number?

The NPI number for Timothy Paulson is 1790139749. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Timothy Paulson located?

Timothy Paulson practices at 300 S 6th St, Williams, AZ 86046. The listed phone number is (928) 635-4441.

What is Timothy Paulson's specialty?

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

Is Timothy Paulson enrolled in Medicare?

Yes. Timothy Paulson is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Paulson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Timothy Paulson 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 Paulson was last updated on December 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.