Individual
DR. KIMBERLY NICHELLE TAMBINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
455 OLD TROLLEY RD, STE E, SUMMERVILLE, SC 29485-5669
(843) 851-0104
(843) 851-0210
Mailing address
5319 WATERVIEW DR, N CHARLESTON, SC 29418-5726
(843) 851-0104
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3454
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970893
UNITED CONCORDIA
SC
05
—
ZX3454
—
SC
Enumeration date
08/16/2006
Last updated
11/27/2017
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