Storm Nicole Kimbrow, DDS
Dentist, General Practice in Houston, TX. Individual provider (NPI-1).
NPI number1962020982
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1962020982
- Entity type
- Individual (NPI-1)
- Name
- Storm Nicole Kimbrow
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2020
- Certification date
- Feb 14, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 38166 | TX | Yes |
| 1223G0001X | Dentist, General Practice | 11516 | TN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
10411 Veterans Memorial Dr Ste CHouston, TX 77038-1501
Phone 832-399-5900
Mailing address
10411 Veterans Memorial DrHouston, TX 77038-1501
Other practice locations
2500 N State St
Jackson, MS 39216-4500
Jackson, MS 39216-4500
Phone 601-984-1000
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