MEDICARE: DR. TIMOTHY GERARD FRENCH JR. DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN27903	FL
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN27903	FL
3	1223G0001X	General Practice Dentistry	DS044436	PA

General Provider Information

NPI Number	:	1851171136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY GERARD FRENCH JR. DMD

Provider Business Mailing Address
First Line	:	520 HAWKINS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7615
Country	:	US
Telephone Number	:	267-902-3082
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 HAWKINS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7615
Country	:	US
Telephone Number	:	850-477-1089
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	06/15/2026

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