Timothy R. Harbolt, Dmd
Timothy R. Harbolt, Dmd is a healthcare organization registered as General Practice Dentistry in Keizer, OR, holding Type 2 (organization) NPI 1114924933 since 2005. The authorized official on file is Timothy Harbolt, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114924933 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Timothy R. Harbolt, Dmd |
| Other name | <Unavail> |
| Practice address | 4734 RIVER RD N, Keizer, OR, 97303 |
| Phone | 5034634663 |
| Fax | 5034634666 |
| Enumeration date | 2005-07-07 |
| Last updated in NPPES | 2012-09-10 |
Authorized official
| Name | Timothy Harbolt |
|---|---|
| Title | President |
| Phone | 5035516349 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D6816 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6816 | Other | OR | STATE LICENSE NUMBER |
Copy-ready billing details
Provider: Timothy R. Harbolt, Dmd NPI: 1114924933 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 4734 RIVER RD N, Keizer, OR, 97303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841283421 | Lisa M Gitelson Dmd PC | Organization | Dental Clinic/Center | Keizer, OR |
| 1457426538 | Ben Sutter | Individual | General Practice Dentistry | Keizer, OR |
| 1740473594 | Lisa Gitelson | Individual | General Practice Dentistry | Keizer, OR |
| 1508136581 | Northwest Dental Arts PC | Organization | Dentist | Keizer, OR |
| 1942956495 | Alicia Lopez | Individual | Physical Therapy Assistant | Keizer, OR |
| 1043186398 | Jada Hatchett | Individual | Physical Therapy Assistant | Keizer, OR |
Verify this record
Cross-check NPI 1114924933 against the authoritative CMS record: view Timothy R. Harbolt, Dmd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Timothy R. Harbolt, Dmd?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-10.