Provider Demographics
NPI:1417067133
Name:CHRISTMAN, KIMBERLY STOEVER (DDS)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:STOEVER
Last Name:CHRISTMAN
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 1:17824 STATESVILLE RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6101
Mailing Address - Country:US
Mailing Address - Phone:704-895-3775
Mailing Address - Fax:704-895-3770
Practice Address - Street 1:17824 STATESVILLE RD
Practice Address - Street 2:SUITE 111
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6101
Practice Address - Country:US
Practice Address - Phone:704-895-3775
Practice Address - Fax:704-895-3770
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC67571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice