CREATIVE DENTAL TED H. KIMBALL NPI 1164631057

NPI Information

  • NPI: 1164631057
  • Provider Name: CREATIVE DENTAL TED H. KIMBALL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: CREATIVE DENTAL
  • Address: 1262 COLUSA AVE
    YUBA CITY, CA
    ZIP 95991
  • Phone: (530) 751-1977

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NPI Details

CREATIVE DENTAL TED H. KIMBALL is a general practice dentist in Yuba City, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CREATIVE DENTAL TED H. KIMBALL NPI is 1164631057. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Creative Dental.

The provider's business location address is:

1262 COLUSA AVE
YUBA CITY, CA
ZIP 95991-653
Phone: (530) 751-1977
Fax: (530) 751-1997

The provider's authorized official is Ted H Kimball .
The authorized official title is Doctor Dds and has the following contact phone number (530) 751-1977.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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