| Kimbrell Dental Pllc | |
|
1 Southgate Ctr Freeburg IL 62243-1541 | |
| (618) 539-5519 | |
| Not Available |
| Full Name | Kimbrell Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Southgate Ctr, Freeburg, Illinois |
| Authorized Official Name and Position | Denise Hand (OWNER) |
| Authorized Official Contact | 6185395519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimbrell Dental Pllc 1 Southgate Ctr Freeburg IL 62243-1541 Ph: () - | Kimbrell Dental Pllc 1 Southgate Ctr Freeburg IL 62243-1541 Ph: (618) 539-5519 |
| NPI Number | 1295473700 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295473700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |