Individual
DR. R. DENTON KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1101 GLENEAGLES DR SW, HUNTSVILLE, AL 35801-6405
(256) 881-0024
(256) 881-8982
Mailing address
1101 GLENEAGLES DR SW, HUNTSVILLE, AL 35801-6405
(256) 881-0024
(256) 881-8982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3431
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
852858
UNITED CONCORDIA
AL
01
—
92171
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/26/2006
Last updated
07/08/2007
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