Organization
CHESTON B. KIMSEY, JR. DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTON BERRONG KIMSEY JR. DDS (PRESIDENT)
(706) 754-2811
Entity
Organization
Contact information
Practice address
364 JEFFERSON ST, CLARKESVILLE, GA 30523
(706) 754-2811
Mailing address
PO BOX 2197, CLARKESVILLE, GA 30523-0037
(706) 754-2811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7337
GA
Other
Enumeration date
09/07/2008
Last updated
09/07/2008
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