# DR. KIMBERLY PAIGE MOORHEAD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487175907
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10587 | TN | — |
| 122300000X | Dentist | DF60976684 | WA | — |
| 1223G0001X | General Practice Dentistry | DE60960113 | WA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DR60847532 | WA | — |

## Other

- **Enumeration date:** 07/06/2017
- **Last updated:** 05/25/2024