DR. TIMOTHY JOSEPH BROUDER D.D.S.
NPI 1790824167
Dentist - General Practice in Mt Prospect, IL

Q: What is Timothy Brouder's NPI number?

The NPI number for Timothy Brouder is 1790824167. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Timothy Brouder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Brouder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 05, 2007

207 S EMERSON ST, MT PROSPECT, IL 60056(847) 577-0199 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Timothy Joseph Brouder D.d.s. NPPES

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

DR. TIMOTHY JOSEPH BROUDER D.D.S. (NPI 1790824167) is an individual general practice provider in Mt Prospect, Illinois and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1790824167

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TIMOTHY JOSEPH BROUDERCredential: D.D.S.

Location Address207 S EMERSON STMt Prospect, IL 60056-3259

Mailing Address207 S Emerson StMt Prospect, IL 60056-3259

Phone(847) 577-0199

Sole ProprietorYes

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790824167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

207 S EMERSON ST, Mt Prospect, IL 60056

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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 Brouder's NPI number?

The NPI number for Timothy Brouder is 1790824167. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Timothy Brouder located?

Timothy Brouder practices at 207 S Emerson St, Mt Prospect, IL 60056. The listed phone number is (847) 577-0199.

What is Timothy Brouder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Timothy Brouder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.