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

Dr. Tim Gough, DDS

Individual provider Dentist · NPI 1104483791

Dr. Tim Gough, DDS is a Dentist in Parkville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

9010 Harford Rd
Parkville, MD 21234-4033
Phone: (410) 665-2202
Fax: (410) 665-9008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 17197 (MD)

Record details

NPI number1104483791
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 20, 2019
Last updated in NPPESNovember 22, 2019
Mailing address2410 Ravenview Rd, Timonium, MD 21093-2716

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