Kimbraugh, Theodore

Kimbraugh, Theodore is an sole proprietor health care provider with primary practice located at 5011 Business Park Dr , Montgomery AL 36116-2695. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kimbraugh, Theodore can be contacted via phone (334) 613-7795.

Contact Information

Primary practice address
5011 Business Park Dr Montgomery AL 36116-2695
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5320 Alabama

Profile Details

NPI number 1619054194
LBN Legal business name Kimbraugh, Theodore
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 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.

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