IndividualActive
Kenneth Kimble, D.D.S.
NPI 1124235056 · Periodontics · Glendale, AZ
Provider details
- NPI number
- 1124235056
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
18555 N 79th Ave
Ste #b 106
Glendale, AZ 85308-8370
Phone: (623) 412-7700
Fax: (623) 412-1588
Approximate (ZIP-level) locationGet directions
Mailing address
18555 N 79th Ave
Glendale, AZ 85308-8370
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2012-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.