Provider Demographics
NPI:1386214294
Name:ROYER, TIMOTHY JARYD (DMD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JARYD
Last Name:ROYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 S HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-7841
Mailing Address - Country:US
Mailing Address - Phone:409-722-1496
Mailing Address - Fax:409-722-1413
Practice Address - Street 1:1435 S HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-7841
Practice Address - Country:US
Practice Address - Phone:409-722-1496
Practice Address - Fax:409-722-1413
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374481223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health