National Provider Identifier

Kimberly Rae Meabon, DDS

Kimberly Rae Meabon, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Jamestown, NY and a listed phone number of (716) 664-5507.

NPI 1114025533Jamestown, NYGeneral Practice Dentistry

Profile Overview

NPI
1114025533
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
September 20, 2006
Last Updated
July 08, 2007

Practice Location

  • 400 W 5Th St
  • Jamestown, NY 14701-4811

Phone: (716) 664-5507

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1114025533
Entity Type
Individual
Last Name
Meabon
First Name
Kimberly
Middle Name
Rae
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
400 W 5Th St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-4811
Mailing Country
US
Mailing Phone
(716) 664-5507
Practice Street Address
400 W 5Th St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-4811
Practice Country
US
Practice Phone
(716) 664-5507
Enumeration Date
September 20, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)