Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tim Micah Supin, DMD

Individual provider Dentist · NPI 1538362256

Dr. Tim Micah Supin, DMD is a Dentist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1412 NE 88th St
Vancouver, WA 98665-9620
Phone: (360) 574-4074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00010813 (WA)

Record details

NPI number1538362256
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESJuly 31, 2013

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