Kelli Christine Jimerson

General Practice Dentistry · Cibolo, TX

Individual Active NPI

NPI number 1053980250

Practice location

342 Notch Leaf
Cibolo, TX 78108-3104
Phone
(830) 391-5054

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NPI record

NPI
1053980250
Entity type
Individual (Type 1)
Enumeration date
June 22, 2021
Last updated
June 22, 2021
Certified
June 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 37317 TX

About Kelli Jimerson

Kelli Christine Jimerson is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 342 Notch Leaf, Cibolo, TX 78108-3104. The NPI number 1053980250 was assigned on June 22, 2021 and the record was last updated on June 22, 2021.

Kelli Jimerson lists a license in the registry: #37317 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelli Christine Jimerson?

The NPI number is 1053980250.

What is the phone number of Kelli Jimerson?

The phone number listed for the practice location is (830) 391-5054.

Where is Kelli Jimerson located?

342 Notch Leaf, Cibolo, TX 78108-3104.

What is the taxonomy code for Kelli Jimerson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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