Provider Demographics
NPI:1316021363
Name:KIMBERLY, DAVID R (DDS, MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:KIMBERLY
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:539 WHITE POND DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320
Mailing Address - Country:US
Mailing Address - Phone:330-836-2882
Mailing Address - Fax:330-836-6085
Practice Address - Street 1:539 WHITE POND DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320
Practice Address - Country:US
Practice Address - Phone:330-836-2882
Practice Address - Fax:330-836-6085
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2020-10-22
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Provider Licenses
StateLicense IDTaxonomies
OH35.080912204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery