Individual
DR. KIMBERLY ANN NIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14600 E 88TH PL N, OWASSO, OK 74055-4877
(918) 327-2144
Mailing address
14600 E 88TH PL N, OWASSO, OK 74055-4877
(918) 327-2144
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200235850A
—
OK
Enumeration date
08/17/2006
Last updated
07/30/2015
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