| Kimberly Dental Associates Llp | |
|
203 W Kimberly Ave Kimberly WI 54136 | |
| (920) 788-1263 | |
| (920) 788-0333 |
| Full Name | Kimberly Dental Associates Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 W Kimberly Ave, Kimberly, Wisconsin |
| Authorized Official Name and Position | Edward Theodore Bekx (PARTNER) |
| Authorized Official Contact | 9207881263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Dental Associates Llp Po Box 100 Kimberly WI 54136 Ph: (920) 788-1263 | Kimberly Dental Associates Llp 203 W Kimberly Ave Kimberly WI 54136 Ph: (920) 788-1263 |
| NPI Number | 1790798056 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790798056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4541 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | 3151 (Wisconsin) | Primary |