Kimberly M Gill DDS Ms LTD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30-022080 Issued in OH

Legal business name

KIMBERLY M GILL DDS MS LTD

Doing business as

Prairie Kids Dental

Practice address

151 E Main St
West Jefferson, OH 43162-1244

Phone

(614) 870-1333

Fax

(614) 870-0333

NPI assigned

Sep 2, 2014

Last updated

Jul 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly M Gill, DDS MSNPI 1538166178

Title

Owner

Phone

(614) 870-1333

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prairie Kids Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly M Gill, DDS, MS

  • Pediatric Dentistry
  • West Jefferson, OH
  • NPI 1538166178
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1184024754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621244",
            "telephone_number": "614-870-1333",
            "fax_number": "614-870-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621244",
            "telephone_number": "614-870-1333",
            "fax_number": "614-870-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M GILL DDS MS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-870-1333",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-022080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1538166178",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL STATE LICENSE",
            "identifier": "30-022080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson Township Trustees (Jefferson Township Fire Department)
• Claudia Raymonde Kanga, CNP
• Michael Aaron Kazee
• Brooklyn Elizabeth Keaton
• Khyati Patel West Jeff Inc
• Joseph E Knapton, OTR
• Andrea Kramer
• Dana Eileen Lenhart Tavaniello, DO
• Lori a Sullivan MD LLC
• Mid Ohio Urgent Care LLC

• Pediatric Dentistry in West Jefferson, OH
• Providers in West Jefferson, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.