Tim Gough, DDS
NPI 1104483791 · on the registry since 2019 · sole proprietor
Practice
- Address
- 9010 Harford Rd
Parkville, MD 21234 - Phone
- (410) 665-2202
- Fax
- (410) 665-9008
- Organisation at this address
- James G Kokorelis D.D.S. P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland