Theodore Kimbraugh in Montgomery - Dentist
Theodore Kimbraugh - NPI 1619054194
Theodore Kimbraugh is a Dentist in Montgomery, Alabama. Theodore Kimbraugh practices all healthcare services and medical treatments related to Dentist. The NPI Number for Theodore Kimbraugh is 1619054194. The last update date is 2007-07-08.
Theodore Kimbraugh's current location address is 5011 Business Park Dr, Montgomery, Alabama. You can contact this provider via phone number 3346137795. The mailing address for Theodore Kimbraugh is 5011 Business Park Dr, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Kimbraugh |
|---|---|
| Address | 5011 Business Park Dr, Montgomery, Alabama |
| Phone Number | 3346137795 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619054194 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5011 Business Park Dr |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361162695 |
| Phone Number | 3346137795 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5320 |
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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 identifier code assigned to Theodore Kimbraugh by the Centers for Medicare & Medicaid Services?
The Theodore Kimbraugh has been issued the NPI (National Provider Identifier) 1619054194 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Theodore Kimbraugh located?
The Theodore Kimbraugh is located at 5011 Business Park Dr, Montgomery, AL 361162695.
What is Theodore Kimbraugh's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theodore Kimbraugh is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619054194 to Theodore Kimbraugh?
The Centers for Medicare & Medicaid Services assigned the 1619054194 to Theodore Kimbraugh on 2006-11-01.
As of what date were the details related to Theodore Kimbraugh most recently updated or revised?
The information pertaining to Theodore Kimbraugh, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.