Castille, Kimberley M

Castille, Kimberley M is an individual health care provider with primary practice located at 1670 Garth Brooks Blvd , Yukon OK 73099. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Castille, Kimberley M can be contacted via phone (405) 494-3080.

Contact Information

Primary practice address
1670 Garth Brooks Blvd Yukon OK 73099
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7260 Oklahoma
Dental Providers / General Practice 1223G0001X 5752 Louisiana

Profile Details

NPI number 1528134392
LBN Legal business name Castille, Kimberley M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2006
Last updated Dec 19th, 2019 - about 5 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 1528134392 NPPES
Louisiana MEDICAID 1857521

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