Kimberly T. Lough, Dds, Ms, Pllc in St Albans - Pediatric Dentistry

Kimberly T. Lough, Dds, Ms, Pllc - NPI 1992905129

Kimberly T. Lough, Dds, Ms, Pllc is a Pediatric Dentistry in St Albans, . Kimberly T. Lough, Dds, Ms, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kimberly T. Lough, Dds, Ms, Pllc is 1992905129. The last update date is 2013-06-13.

Kimberly T. Lough, Dds, Ms, Pllc's current location address is 12 Kanawha Terrace, St Albans, . You can contact this provider via phone number 3047227221 and fax number 3047220420. The mailing address for Kimberly T. Lough, Dds, Ms, Pllc is 12 Kanawha Terrace, St Albans, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Kimberly T. Lough, Dds, Ms, Pllc
Address 12 Kanawha Terrace, St Albans,
Phone Number 3047227221
Fax Number 3047220420
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRIC
Authorized Official Name Lough T Kimberly
Credentials DDS, MS
Telephone Number 3047227221

NPI Number Detail

NPI Number 1992905129
Provider Enumeration Date 2007-07-25
Last Updated Date 2013-06-13

Provider Mailing Address Detail

Address 12 Kanawha Terrace
City St Albans
State (WV)
Post Code 25177
Phone Number 3047227221
Fax Number 3047220420

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3783
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4004039000 WV --

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FAQs about Kimberly T. Lough, Dds, Ms, Pllc

What is the Kimberly T. Lough, Dds, Ms, Pllc's 1992905129?

The Kimberly T. Lough, Dds, Ms, Pllc's NPI (National Provider Identifier) Number is 1992905129. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kimberly T. Lough, Dds, Ms, Pllc's facilities are situated?

The facilities of Kimberly T. Lough, Dds, Ms, Pllc are physically located at the following address: 12 Kanawha Terrace, St Albans, WV, 25177.

What is Kimberly T. Lough, Dds, Ms, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kimberly T. Lough, Dds, Ms, Pllc's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

When did Kimberly T. Lough, Dds, Ms, Pllc receive its 1992905129 assignment?

The Kimberly T. Lough, Dds, Ms, Pllc was assigned its 1992905129 on 2007-07-25, which is the date when this unique identifier was issued to the organization.

When was the information regarding Kimberly T. Lough, Dds, Ms, Pllc most recently updated?

The details pertaining to the Kimberly T. Lough, Dds, Ms, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2013-06-13.

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