Rosellen E. Kimbrough, DDS

Dentist · Roseburg, OR

Individual Active NPI

NPI number 1417119207

Practice location

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone
(541) 672-9596
Fax
(541) 677-9216

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NPI record

NPI
1417119207
Entity type
Individual (Type 1)
Enumeration date
July 2, 2008
Last updated
June 3, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D7677 OR

Mailing address

913 NW Garden Valley Blvd
Roseburg, OR 97470-6523
Phone
(541) 440-1000

About Dr. Kimbrough

Rosellen E. Kimbrough, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 150 NE Kenneth Ford Dr, Roseburg, OR 97470-1042. The NPI number 1417119207 was assigned on July 2, 2008 and the record was last updated on June 3, 2019.

Dr. Kimbrough lists a license in the registry: #D7677 (OR) 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 Rosellen E. Kimbrough, DDS?

The NPI number is 1417119207.

What is the phone number of Dr. Kimbrough?

The phone number listed for the practice location is (541) 672-9596.

Where is Dr. Kimbrough located?

150 NE Kenneth Ford Dr, Roseburg, OR 97470-1042.

What is the taxonomy code for Dr. Kimbrough?

The primary taxonomy code is 122300000X – Dentist.

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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