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

Dr. Timothy Jay Icenhower, DDS

Individual provider Dentist · NPI 1770540866

Dr. Timothy Jay Icenhower, DDS is a Dentist in Plano, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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

1000 18th St Ste 400
Plano, TX 75074-5902
Phone: (972) 379-3359
Fax: (972) 767-3289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 17200 (TX)

Record details

NPI number1770540866
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 1, 2006
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address1000 18th St Ste 400, Plano, TX 75074-5902

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