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

Dr. Timothee Gansore

Individual provider General Practice Dentistry · NPI 1154842516

Dr. Timothee Gansore is a General Practice Dentistry in Jacksboro, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

1138 Main St Unit C
Jacksboro, TN 37757-2582
Phone: (423) 201-9917
Fax: (423) 377-1069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10591 (TN)

Record details

NPI number1154842516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 6, 2017
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address1138 Main St Unit C, Jacksboro, TN 37757-2582

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