institution
Kimberly T. Lough, Dds, Ms, Pllc
Pediatric Dentist in St Albans, West Virginia
NPI 1992905129

Kimberly T. Lough, Dds, Ms, Pllc is a Pediatric Dentist based in St Albans, WV and is specialized in Pediatric Dentistry. Kimberly T. Lough, Dds, Ms, Pllc practices in St Albans, WV. The NPI Number for Kimberly T. Lough, Dds, Ms, Pllc is 1992905129 and holds a License No. 3415 (West Virginia).

The current practice location address for Kimberly T. Lough, Dds, Ms, Pllc is 12 Kanawha Ter, St Albans, WV and can be reached out via phone at 304-722-7221 and via fax at 304-722-0420.

Location: 12 Kanawha Ter, St Albans, WV, 25177
institution
Provider Profile Details
NPI Number
1992905129
Provider Name
Kimberly T. Lough, Dds, Ms, Pllc
Credential
Provider Entity Type
Organization
Address
12 Kanawha Ter, St Albans, WV, 25177
Phone Number
304-722-7221
Fax Number
304-722-0420
Provider Enumeration Date
07/25/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4004039000 05 WV
institution
Provider Business Practice Location Address Details
Address
12 Kanawha Ter
City
State
Zip
25177
Phone Number
304-722-7221
Fax Number
304-722-0420
person
Provider Business Mailing Address Details
Address
12 Kanawha Ter
City
State
Zip
25177
Phone Number
304-722-7221
Fax Number
304-722-0420
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3415 (West Virginia)
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.
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