Dr. James Richard Kimmelman, dds
Dentist, Periodontics in Hernando, MS. Individual provider (NPI-1).
NPI number1346356490
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346356490
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Richard Kimmelman
- Credential
- dds
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | per-277-95 | MS | Yes |
Practice location
460 Byhalia RdHernando, MS 38632-1319
Phone 662-429-5239 · Fax 662-449-0758
Mailing address
4488 Westminister CirSouthaven, MS 38671-8594
Phone 662-449-3654 · Fax 662-449-3654
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