| Jeffrey G. Kimble Dds | |
|
211 Virginia Ave Petersburg WV 26847-1715 | |
| (304) 257-1759 | |
| Not Available |
| Full Name | Jeffrey G. Kimble Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 211 Virginia Ave, Petersburg, West Virginia |
| Authorized Official Name and Position | Jeffrey G Kimble (OWNER) |
| Authorized Official Contact | 3042571759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey G. Kimble Dds 211 Virginia Ave Petersburg WV 26847-1715 Ph: (304) 257-1759 | Jeffrey G. Kimble Dds 211 Virginia Ave Petersburg WV 26847-1715 Ph: (304) 257-1759 |
| NPI Number | 1508457326 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508457326 | NPI | - | NPPES |
| 7800023000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
David E. Harman M.a. , D.d.s. , Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 S Main St, Petersburg, WV 26847 Phone: 304-257-4770 Fax: 304-257-5475 |