Timothy W. Gifford
Periodontist
5595 Winfield Blvd Ste 208
San Jose
, California 95123-1220
Timothy W. Gifford
Periodontist
5595 Winfield Blvd Ste 208
San Jose
, California 95123-1220
(408) 578-0641
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Timothy W. Gifford
- 5595 Winfield Blvd Ste 208
- San Jose, CA
- Zip : 95123-1220
- Fax : (408) 578-0641
- Phone : (408) 578-6400
Second Address
- Timothy W. Gifford
- 5595 Winfield Blvd Ste 208
- San Jose, CA
- Zip : 95123-1220
- Fax : (408) 578-0641
- Phone : (408) 578-6400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 50059 | CA |
National Provider Identifier
| NPI | 1114102357 |
|---|---|
| Provider Name | Timothy W. Gifford |
| First Address | San Jose, CA 95123-1220 |
| Second Address | San Jose, CA 95123-1220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.