Kimberly Ann Frisk, DMD
Individual provider Active NPI Dentist · Hilton Head, SC
NPI 1457784472 · NPPES record last updated Jun 15, 2016
Key facts
- NPI
- 1457784472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DGD.8726 GD (SC)
- Practice address
- 3801 Main St
Hilton Head, SC 29926-1676 - Phone
- (843) 342-4463
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040255 | PA | MD | Dentist |
| DGD.8726 GD | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Wachtel, DDS, LLC | Past | Accepting new patients | |
| HHMD LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DGD.8726 GD | SC | Yes |
| Dentist | 122300000X | 10146 | NC | |
| Dentist | 122300000X | DS040255 | PA |
Addresses
Primary practice location
3801 Main St
Hilton Head, SC 29926-1676
Mailing address
3801 Main St
Hilton Head, SC 29926-1676
Phone (843) 342-4463
Other providers in Hilton Head, SC
- Laurie Ann Fisher
- Sara L Flood
- Charles Frangos
- Nicole Frediani
- Jennifer Elise Friedman
- Michael Fritz
- John Funke III
- Amanda Lynn Gano
- Miranda L Garcia
- Myra M. Gasser
All providers in Hilton Head, SC · Dentist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.