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
Mailing address1412 Ne 88th St, Vancouver, WA 98665-9620

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