<Unavail>

LBN: Kimbrough Dental Associates Llc
<Unavail> is an health care organization with primary practice located at 3111 S Kimbrough Ave , Springfield MO 65807-5011. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kimbrough Dental Associates Llc can be contacted via phone (417) 887-5661, or through Perotka, Susan J via phone (417) 887-5661.

Contact Information

Primary practice address
3111 S Kimbrough Ave Springfield MO 65807-5011
Phone: (417) 887-5661
Fax: (417) 889-6814
Website:
Map and Directions
Authorized official contact:
Name: Perotka, Susan J Doctor of Dental Medicine (DMD)
Phone: (417) 887-5661

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Missouri

Profile Details

NPI number 1932180023
LBN Legal business name Kimbrough Dental Associates Llc
DBA Doing business as <Unavail>
Authorized official Perotka, Susan J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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