| Joan H. Kimball, Dmd | |
| 
					15 Wentworth Ave Plaistow NH 03865-3136  | |
| (603) 382-5138 | |
| (603) 382-6071 | 
| Full Name | Joan H. Kimball, Dmd | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 15 Wentworth Ave, Plaistow, New Hampshire | 
| Authorized Official Name and Position | Joan Harwood Kimball (DENTIST) | 
| Authorized Official Contact | 6033825138 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joan H. Kimball, Dmd 15 Wentworth Ave Plaistow NH 03865-3136 Ph: (603) 382-5138  | Joan H. Kimball, Dmd 15 Wentworth Ave Plaistow NH 03865-3136 Ph: (603) 382-5138  | 
| NPI Number | 1700026713 | 
|---|---|
| Provider Enumeration Date | 03/03/2009 | 
| Last Update Date | 03/03/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700026713 | NPI | - | NPPES | 
| 30004940 | Medicaid | NH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 2238 (New Hampshire) | Secondary | 
| 1223G0001X | Dentist - General Practice | 2238 (New Hampshire) | Primary | 
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