NPI 1154479418 · live from the CMS NPI Registry
Kimberly E Beal, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Atlanta, GA. National Provider Identifier 1154479418, active.
NPI record
| NPI | 1154479418 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2440 Fairburn Rd Sw, Suite 301, Atlanta, GA 30331 |
| Practice phone | 404-349-7777 |
| Enumerated | January 5, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12174 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.