Kimberly R. Self, D.D.S.

Dentist · Barrow, AK

Individual Active NPI

NPI number 1073841797

Practice location

1296 Agvik Street
Barrow, AK 99723-0029
Phone
(907) 852-9221
Fax
(907) 852-9297

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NPI record

NPI
1073841797
Entity type
Individual (Type 1)
Enumeration date
November 19, 2009
Last updated
July 18, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 1395 AK
Dentist 122300000X 24630 TX

Mailing address

1296 Agvik Street
PO Box 29
Barrow, AK 99723-0029
Phone
(907) 852-9221
Fax
(907) 852-9297

About Dr. Self

Kimberly R. Self, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1296 Agvik Street, Barrow, AK 99723-0029. The NPI number 1073841797 was assigned on November 19, 2009 and the record was last updated on July 18, 2012.

Dr. Self lists 2 licenses in the registry: #1395 (AK) for Dentist; #24630 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly R. Self, D.D.S.?

The NPI number is 1073841797.

What is the phone number of Dr. Self?

The phone number listed for the practice location is (907) 852-9221.

Where is Dr. Self located?

1296 Agvik Street, Barrow, AK 99723-0029.

What is the taxonomy code for Dr. Self?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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