Organization
KIMBERLY M GILL DDS MS LTD
Active
Other names
Prairie Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M GILL DDS MS (OWNER)
(614) 870-1333
Entity
Organization
Contact information
Practice address
151 E MAIN ST, WEST JEFFERSON, OH 43162-1244
(614) 870-1333
(614) 870-0333
Mailing address
151 E MAIN ST, WEST JEFFERSON, OH 43162-1244
(614) 870-1333
(614) 870-0333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-022080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538166178
NPI INDIVIDUAL
OH
01
—
30-022080
INDIVIDUAL STATE LICENSE
OH
Enumeration date
09/02/2014
Last updated
07/12/2025
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