Amy M Kimes, DDS PA
Clinic/Center, Dental in Mount Olive, NC. Organization (NPI-2).
NPI number1508024597
StatusActive
Last updated in NPPESMay 28, 2008
Details
- NPI
- 1508024597
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy M Kimes, DDS PA
- Organization subpart
- No
- Enumeration date
- May 28, 2008
- Last updated
- May 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 7476 | NC | Yes |
Practice location
236 Smith Chapel RdMount Olive, NC 28365-1917
Phone 919-658-9511
Mailing address
236 Smith Chapel RdMount Olive, NC 28365-1917
Phone 919-658-9511
Authorized official
Amy M Kimes
President
9196589511
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