MOZHGAN KIMBLE


Address: 15833 N 29th St, Ste. 1287, Phoenix, AZ 85032-3704
Phone: 6024492811

MOZHGAN KIMBLE (NPI# 1205087228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205087228
Entity Type Individual
Full Name MOZHGAN KIMBLE
Credential DDS
Practice Address 15833 N 29th St
Ste. 1287
Phoenix
AZ 85032-3704
Mailing Address 2500 W Utopia Rd
Suite 100
Phoenix
AZ 85027-4171
Practice Telephone 6024492811
Practice Fax Number 6024492812
Mailing Telephone 6234346200
Mailing Fax Number 6234346164
Enumeration Date 2008-10-08
Last Update Date 2016-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 4697 AZ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 467789 05

Office Location

Street Address 15833 N 29TH ST
STE. 1287
City PHOENIX
State AZ
Zip Code 85032-3704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689834301 Janice K Grutzius Dental Hygienist 15833 N 29th St, Phoenix, AZ 85032-3704 2008-06-16
1679818314 Neighborhood Outreach Access To Health Clinic/Center 15833 N 29th St, Phoenix, AZ 85032-3704 2012-12-06
1912162702 Scottsdale Healthcare Hospitals Clinic/Center 15833 N 29th St, Phoenix, AZ 85032-3704 2008-07-22

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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851990444 Shaveta Behl Dentist 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 2020-10-23
1083212575 Rasha Adil Abduljabbar Al-kaabi Dentist 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 2020-10-15
1912510678 Nicholas Ahn Dentist 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 2020-08-24
1326659087 Triple Eight Dental Group, Pllc Dentist 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 2020-08-14
1376154450 Hatcher Dental Studio Dentist 421 W Hatcher Rd # 101, Phoenix, AZ 85021-2455 2020-08-12
1811515885 Robert James Koch Dentist 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 2020-07-07
1093332454 James Dang Dentist 2777 E Camelback Rd Ste 101, Phoenix, AZ 85016-4348 2020-07-01
1639700735 Swiss Biologic Dentistry, LLC Dentist 4202 N 32nd St Ste A, Phoenix, AZ 85018-4764 2020-01-28
1194370403 Rajas Milind Pradhan Dentist 4201 E Bell Rd, Phoenix, AZ 85032-2211 2019-08-04
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Competitor

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City PHOENIX
Zip Code 85032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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