Kimes, Amy Melissa

Kimes, Amy Melissa is an individual health care provider with primary practice located at 236 Smith Chapel Rd , Mount Olive NC 28365-1917. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kimes, Amy Melissa can be contacted via phone (919) 658-9511.

Contact Information

Primary practice address
236 Smith Chapel Rd Mount Olive NC 28365-1917
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7476 North Carolina

Profile Details

NPI number 1154301315
LBN Legal business name Kimes, Amy Melissa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated May 28th, 2008 - about 16 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 1154301315 NPPES
North Carolina MEDICAID 5905678

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