DR. TIMOTHY JAMES BOURESSA D.D.S.
NPI 1922296466
Dentist - General Practice in Kimberly, WI

Q: What is Timothy Bouressa's NPI number?

The NPI number for Timothy Bouressa is 1922296466. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Q: What is Timothy Bouressa'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 Bouressa was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 10, 2007

500 W 3RD ST, POB 96, KIMBERLY, WI 54136(920) 788-4201 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Timothy James Bouressa D.d.s. NPPES

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

DR. TIMOTHY JAMES BOURESSA D.D.S. (NPI 1922296466) is an individual general practice provider in Kimberly, Wisconsin, licensed in Wisconsin (3929) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1922296466

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TIMOTHY JAMES BOURESSACredential: D.D.S.

Location Address500 W 3RD ST, POB 96Kimberly, WI 54136-1305

Mailing Address500 W 3rd St, Pob 96Kimberly, WI 54136-1305 · (920) 788-4201

Phone(920) 788-4201

Sole ProprietorNo

Enumeration DateOctober 10, 2007

✔ NPI 1922296466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 3929

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.

500 W 3RD ST, Kimberly, WI 54136

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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 Bouressa's NPI number?

The NPI number for Timothy Bouressa is 1922296466. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Where is Timothy Bouressa located?

Timothy Bouressa practices at 500 W 3rd St Pob 96, Kimberly, WI 54136. The listed phone number is (920) 788-4201.

What is Timothy Bouressa'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 Bouressa was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.