Kimbrough Dental Associates Llc in Springfield - Dentist
Kimbrough Dental Associates Llc - NPI 1932180023
Kimbrough Dental Associates Llc is a Dentist in Springfield, Missouri. Kimbrough Dental Associates Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kimbrough Dental Associates Llc is 1932180023. The last update date is 2020-08-22.
Kimbrough Dental Associates Llc's current location address is 3111 S Kimbrough Ave, Springfield, Missouri. You can contact this provider via phone number 4178875661 and fax number 4178896814. The mailing address for Kimbrough Dental Associates Llc is 3111 S Kimbrough Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kimbrough Dental Associates Llc |
|---|---|
| Address | 3111 S Kimbrough Ave, Springfield, Missouri |
| Phone Number | 4178875661 |
| Fax Number | 4178896814 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR CO |
|---|---|
| Authorized Official Name | Perotka J Susan |
| Credentials | DMD |
| Telephone Number | 4178875661 |
NPI Number Detail
| NPI Number | 1932180023 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3111 S Kimbrough Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658075011 |
| Phone Number | 4178875661 |
| Fax Number | 4178896814 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Kimbrough Dental Associates Llc by the Centers for Medicare & Medicaid Services?
The Kimbrough Dental Associates Llc has been assigned the NPI (National Provider Identifier) 1932180023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kimbrough Dental Associates Llc's facilities are geographically located?
The facilities of Kimbrough Dental Associates Llc are physically situated at the following location: 3111 S Kimbrough Ave, Springfield, MO, 658075011.
What is Kimbrough Dental Associates Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kimbrough Dental Associates Llc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Kimbrough Dental Associates Llc receive the assignment of its 1932180023 from the Centers for Medicare & Medicaid Services?
The Kimbrough Dental Associates Llc was issued its 1932180023 by the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date were the details related to Kimbrough Dental Associates Llc most recently updated or revised?
The information pertaining to Kimbrough Dental Associates Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN