SHAWN KIMBALL DDS NPI 1609033075

NPI Information

NPI: 1609033075
Provider Name: SHAWN KIMBALL, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
641 KEN PRATT BLVD
LONGMONT, CO
ZIP 80501
Phone: (303) 651-2700
Get Directions

Shawn Kimball, DDS is a general practice dentist in Longmont, CO. 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. Shawn Kimball, DDS NPI is 1609033075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

641 KEN PRATT BLVD
LONGMONT, CO
ZIP 80501-419
Phone: (303) 651-2700

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/30/2010.

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
1	1223G0001X	Dentist	General Practice	DE00011186	WASHINGTON	No
2	1223G0001X	Dentist	General Practice	9982	COLORADO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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