Kimbrough, R. Denton

Kimbrough, R. Denton is an sole proprietor health care provider with primary practice located at 1101 Gleneagles Dr Sw , Huntsville AL 35801-6405. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kimbrough, R. Denton can be contacted via phone (256) 881-0024.

Contact Information

Primary practice address
1101 Gleneagles Dr Sw Huntsville AL 35801-6405
Fax: (256) 881-8982
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3431 Alabama

Profile Details

NPI number 1215950670
LBN Legal business name Kimbrough, R. Denton
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215950670 NPPES
Alabama Other 92171 BLUE CROSS BLUE SHIELD
Alabama Other 852858 BLUE CROSS BLUE SHIELD

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