# KIMBERLY S. PINYAN, DMD, PA

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

## Provider details

- **NPI number:** 1477618643
- **Authorized official:** MRS. KIMBERLY S PINYAN DMD (OWNER)
- **Authorized official phone:** (336) 760-2011

## Contact information

- **Practice address:** 4712 COUNTRY CLUB RD, SUITE C, WINSTON SALEM, NC 27104-3749
- **Practice address phone:** (336) 760-2011
- **Practice address fax:** (336) 760-2847
- **Mailing address:** 4712 COUNTRY CLUB RD, SUITE C, WINSTON SALEM, NC 27104-3749
- **Mailing address phone:** (336) 760-2011
- **Mailing address fax:** (336) 760-2847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2000013233607 | NC | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 01/17/2014