Provider Demographics
NPI:1265261028
Name:PADRON, KIMBERLY FLORENCE (DDS)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:FLORENCE
Last Name:PADRON
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 1:14420 HARRIS PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2724
Mailing Address - Country:US
Mailing Address - Phone:305-527-5713
Mailing Address - Fax:
Practice Address - Street 1:12022 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2002
Practice Address - Country:US
Practice Address - Phone:786-623-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN29393122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist