Kimble, Lisa
Kimble, Lisa is an individual health care provider with primary practice located at 870 Crestmark Dr Suite 100, Lithia Springs GA 30122-2665. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kimble, Lisa can be contacted via phone (678) 945-0034.Contact Information
Primary practice address
870 Crestmark Dr Suite 100
Lithia Springs GA 30122-2665
Phone: (678) 945-0034
Fax: (770) 892-4779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DNO12313 | Georgia |
Profile Details
| NPI number | 1043386782 |
|---|---|
| LBN Legal business name | Kimble, Lisa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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