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Dr. Glenn Anthony Kimble, D.D.S.

Dentist in Lynchburg, VA. Individual provider (NPI-1).

NPI number1821143751
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1821143751
Entity type
Individual (NPI-1)
Name
Dr. Glenn Anthony Kimble
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 23, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist0401007042VAYes

Practice location

2323 Memorial Ave
Suite 22
Lynchburg, VA 24501-2661

Phone 434-847-5847 · Fax 434-847-4452

Mailing address

2158 New Chapel Rd
Rustburg, VA 24588-2949

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