NPI 1063641736

Donathan Scott Kimbrough

Practitioner General Practice Dentistry Springdale, AR

Practice location

Address: 2702 American St, Springdale, AR 72764-6937
Phone: (479) 751-9899
Fax: (479) 751-8705

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3706 (AR)

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Registry record

NPI: 1063641736
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2009
Record last updated: 15 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.