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Dr. Kimberly Marie Hollywood, DMD
Pediatric Dentist in Nutley, New Jersey
NPI 1821364118

Kimberly Marie Hollywood is a Pediatric Dentist based in Nutley, NJ and is specialized in Pediatric Dentistry. Kimberly Marie Hollywood practices in Nutley, NJ and has the professional credentials of DMD. The NPI Number for Kimberly Marie Hollywood is 1821364118 and holds a License No. (New Jersey).

The current practice location address for Kimberly Marie Hollywood is 500 Franklin Ave, Nutley, NJ and can be reached out via phone at 973-667-5507.

Location: 500 Franklin Ave, Nutley, NJ, 07110-1720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821364118
Provider Name
Kimberly Marie Hollywood
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
500 Franklin Ave, Nutley, NJ, 07110-1720
Phone Number
973-667-5507
Fax Number
Provider Enumeration Date
03/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Franklin Ave
City
Nutley
State
New Jersey
Zip
07110-1720
Phone Number
973-667-5507
Fax Number
person
Provider Business Mailing Address Details
Address
500 Franklin Ave
City
Nutley
State
New Jersey
Zip
07110-1720
Phone Number
973-667-5507
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI02508000 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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