# GLENN A. KIMBLE D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023156692
- **Authorized official:** DR. GLENN ANTHONY KIMBLE D.D.S. (PRACTICE OWNER)
- **Authorized official phone:** (434) 847-5847

## Contact information

- **Practice address:** 2323 MEMORIAL AVE, SUITE 22, LYNCHBURG, VA 24501-2661
- **Practice address phone:** (434) 847-5847
- **Practice address fax:** (434) 847-4452
- **Mailing address:** 2323 MEMORIAL AVE, SUITE 22, LYNCHBURG, VA 24501-2661
- **Mailing address phone:** (434) 847-5847
- **Mailing address fax:** (434) 847-4452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2007
- **Last updated:** 08/22/2020