| Doctor Name: | DR. TIMOTHY ALLEN MITCHENER |
| NPI Number: | 1609889864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.M.D., M.P.H. |
| License Number: | DS0000004875 |
| Business Practice Address: | 5158 Black Hawk Rd Gunpowder, MD - 210105403 |
| Business Phone Number: | 4104365001 |
| Business Fax Number: | |
| Mailing Address: | 5158 Black Hawk Rd, GUNPOWDER |
| State: | MD |
| Postal Code: | 210105403 |
| Phone Number: | 4104365001 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223D0001X |
| License Number: | DS0000004875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Dental Public Health |
| Taxonomy Definition: | The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |