Provider Demographics
NPI:1225175565
Name:BEST, KIMBERLLI C (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLLI
Middle Name:C
Last Name:BEST
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:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:MC COMB
Mailing Address - State:OH
Mailing Address - Zip Code:45858-0788
Mailing Address - Country:US
Mailing Address - Phone:419-293-2335
Mailing Address - Fax:419-293-2512
Practice Address - Street 1:269 PARK DR S
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:OH
Practice Address - Zip Code:45858-0788
Practice Address - Country:US
Practice Address - Phone:419-293-2335
Practice Address - Fax:419-293-2512
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH219151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice