DR. W FRANK KIMBROUGH (NPI# 1639117468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639117468 |
| Entity Type | Individual |
| Full Name | DR. W FRANK KIMBROUGH |
| Credential | DDS |
| Practice Address |
1459 Laney Walker Blvd Ad 1501 Augusta GA 30912-0002 |
| Practice Telephone | 7067210502 |
| Practice Fax Number | 7067210502 |
| Mailing Telephone | 7067210502 |
| Mailing Fax Number | 7067210502 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DNF000230 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZG0230 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871772202 | W B Kimbrough IIi | Surgery | 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737-5023 | 2007-11-01 |
| Street Address |
1459 LANEY WALKER BLVD AD 1501 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639158900 | Walter Jack Morris | Dentist | 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912-0002 | 2006-01-13 |
| 1932725694 | Liniya Tauhidul | Family Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-18 |
| 1740805852 | Nafiz Kalam Sheikh | Psychiatry & Neurology | 1459 Laney Walker Blvd, Augusta, GA 30912-0001 | 2020-06-15 |
| 1265057426 | Mallika Patel | Internal Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-13 |
| 1578188728 | Dhruti Prashant Diwan | Anesthesiology | 1459 Laney Walker Blvd, Augusta, GA 30912-3529 | 2020-06-13 |
| 1043835317 | Jesse William Wayson | Obstetrics & Gynecology | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1861017139 | Mac Bohanan | Psychiatry & Neurology | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1609491950 | Taylor Payne | Internal Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1184249443 | Yasasvi Tadavarthi | Internal Medicine | 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912-0004 | 2020-06-12 |
| 1376168807 | Erica Demaagd | Pediatrics | 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043374598 | Thomas E Day | Dentist | 3502 Wheeler Rd, Augusta, GA 30909-1824 | 2006-12-20 |
| 1467542464 | Emmanuel C Ngoh | Dentist | 3636 Wheeler Road, Augusta, GA 30909 | 2006-10-13 |
| 1144231440 | Augusta Associates of Endodontics | Dentist | 3502 Wheeler Road, Augusta, GA 30909-1824 | 2006-08-11 |
| 1699733931 | Michelle Uson Sarno | Dentist | 3636 Wheeler Rd, Augusta, GA 30909-6626 | 2006-05-03 |
| 1992295646 | Fucong Tian | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0004 | 2018-05-17 |
| 1235587908 | Wiley Lipscomb Purcell | Dentist | 3636 Wheeler Rd, Augusta, GA 30909-6626 | 2016-06-02 |
| 1427472398 | Maine Endodontics Pa | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2014-02-12 |
| 1770825887 | James Wylie Gustin | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912 | 2013-03-27 |
| 1154629855 | Emmanuel C Ngoh Dmd PC | Dentist | 3636 Wheeler Rd, Augusta, GA 30909 | 2011-03-03 |
| 1407152218 | Lisiane Ferreira-susin | Dentist | 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 | 2011-01-27 |
| Find all providers in AUGUSTA | ||||
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| 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.