Individual provider · Type 1 NPI

Kenneth M. Kimble, DDS

Periodontics · Glendale, AZ

NPI number 1124235056 Active

Practice location

18555 N 79th Ave, Ste #B 106
Glendale, AZ 85308-8370

Fax (623) 412-1588

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X5101 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1124235056

Kenneth M. Kimble, DDS's National Provider Identifier is 1124235056, issued on May 17, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Glendale, AZ. The record was last updated on May 15, 2012.