Individual
CHAD JEROME KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
992 GATEWAY COMMONS CIR, WAKE FOREST, NC 27587-6594
(984) 302-7665
(843) 228-5196
Mailing address
PO BOX 6216A, NAVAL HOSPITAL BEAUFORT, ATTN: PROF AFFAIRS COORDINATOR, BEAUFORT, SC 29902-6148
(843) 228-5577
(843) 228-5196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9593
NC
Other
Enumeration date
11/28/2005
Last updated
03/21/2025
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