Provider Demographics
NPI:1033292156
Name:KAREY, KIMBERLEE JESSICA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLEE
Middle Name:JESSICA
Last Name:KAREY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E LIBERTY ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2013
Mailing Address - Country:US
Mailing Address - Phone:734-668-6612
Mailing Address - Fax:734-668-6608
Practice Address - Street 1:625 E LIBERTY ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2013
Practice Address - Country:US
Practice Address - Phone:734-668-6612
Practice Address - Fax:734-668-6608
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901016782122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist