DR. THOMAS R KIMBALL


Address: 515 Lakeside Dr, Suite 105, Grand Rapids, MI 49506
Phone: 6164582011

DR. THOMAS R KIMBALL (NPI# 1497824395) 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) 1497824395
Entity Type Individual
Full Name DR. THOMAS R KIMBALL
Credential DDS
Practice Address 515 Lakeside Dr
Suite 105
Grand Rapids
MI 49506
Practice Telephone 6164582011
Practice Fax Number 6164589719
Mailing Telephone 6164582011
Mailing Fax Number 6164589719
Enumeration Date 2006-11-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2901012285 MI Dental Providers

Other Providers THOMAS KIMBALL

NPI Name Taxonomy Address Enumeration
1174734040 Thomas Griff Kimball Marriage & Family Therapist 8200 Nashville Ave, Lubbock, TX 79423-1906 2007-05-24
1104878990 Thomas R Kimball Pediatrics 3333 Burnet Ave Ml 2003, Cincinnati, OH 45229-3026 2006-05-17
1316574858 Thomas Stiglin Kimball Student in an Organized Health Care Education/Training Program 75 Francis St, Cwnl1, Boston, MA 02115 2020-03-25
1285792853 Thomas E Kimball Radiology 12200 Preston Rd, Dallas, TX 75230-2223 2006-12-05

Office Location

Street Address 515 LAKESIDE DR
SUITE 105
City GRAND RAPIDS
State MI
Zip Code 49506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952524365 Chase F Klinesteker Dentist 515 Lakeside Dr, Suite 105, Grand Rapids, MI 49506 2007-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356954705 Mckenna Shank Technician 1409 E Beltline Ave Se, Grand Rapids, MI 49506 2020-08-26
1750917969 Meghan Elizabeth Southwell Social Worker Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 2020-03-19
1356876536 Lisa Finkbeiner Chiropractor 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 2017-04-26
1447622964 Ashley Robinson Rehabilitation Practitioner 1490 East Beltline Ave, Grand Rapids, MI 49506 2015-10-23
1770951584 Stuart Segal Behavioral Analyst 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 2015-09-10
1922476373 Elizabeth Taylor Nurse Practitioner 2255 Wealthy Dr., Grand Rapids, MI 49506 2015-09-02
1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
1164809919 Gary James Rehabilitation Practitioner 1490 E. Beltline Se, Grand Rapids, MI 49506 2015-04-30
1275925315 Paul Cole Counselor 1101 Ball Ave. .se., Grand Rapids, MI 49506 2015-02-26
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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
1639797640 Kadie Ann Koolwick Dentist 5500 Northland Dr Ne, Grand Rapids, MI 49525-1064 2020-07-07
1962053744 Gr Sound Sleep LLC Dentist 6677 Crossings Dr Se Ste 4, Grand Rapids, MI 49508-7889 2019-09-24
1598323016 Kelly Reinhardt Dentist 847 Parchment Dr Se Ste 110, Grand Rapids, MI 49546-2377 2019-05-30
1063079242 Andrew Stuart Kuehn Dentist 1121 Se 4th Ave, Grand Rapids, MN 55744-3956 2019-05-23
1316467954 Hendrik Vanholsbeeck Dentist 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 2017-06-25
1710417969 Mccoy Family Dentistry Dentist 2330 44th St Se, Grand Rapids, MI 49508-4700 2017-06-19
1427594027 Mel Trotter Ministries Dental Clinic Dentist 225 Commerce Ave Sw, Grand Rapids, MI 49503-4107 2017-01-06
1265980957 Brittany Ann Rashid Dentist 2549 Tall Timber Ct Se, Grand Rapids, MI 49546-6787 2016-09-12
1336591791 Nicole Totten Dentist 3320 Alpine Ave., Grand Rapids, MI 49544 2016-07-11
1083098198 Alexandra Dodds Dentist 2609 Breton Rd Se, Grand Rapids, MI 49546 2015-07-17
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Competitor

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City GRAND RAPIDS
Zip Code 49506

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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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