Kimball, John Dexter
Kimball, John Dexter is an sole proprietor health care provider with primary practice located at 3151 E 29Th Ave , Spokane WA 99223-4800. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kimball, John Dexter can be contacted via phone (509) 535-8838.Contact Information
Primary practice address
3151 E 29Th Ave
Spokane WA 99223-4800
Phone: (509) 535-8838
Fax: (509) 535-8854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00005584 | Washington |
Profile Details
| NPI number | 1003977893 |
|---|---|
| LBN Legal business name | Kimball, John Dexter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003977893 | NPPES |
| Washington | Other | DE00005584 | DENTAL LICENSE # |
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