Kimberly M Gill, DDS, MS

Individual provider Active NPI Pediatric Dentistry · West Jefferson, OH

NPI 1538166178 · NPPES record last updated Nov 12, 2024

Key facts

NPI
1538166178
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
30-022080 (OH)
Practice address
151 E Main St
West Jefferson, OH 43162-1244
Phone
(614) 870-1333
Fax
(614) 870-0333
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30-022080OHMDPediatric Dentist
30022080OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Musial-Gill Properties LLC Current
since Sep 13, 2020
Accepting new patients
Kimberly M Gill DDS Ms LTD Pediatric Dentistry Current Accepting new patients
Ocean Dental of Ohio, P.C. Past Accepting new patients

Locations

982 Galloway Rd
Galloway, OH 43119
Phone (614) 824-5671

151 E Main St
West Jefferson, OH 43162
Phone (614) 870-1333

3646 E Main St
Whitehall, OH 43213
Phone (614) 231-4800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30-022080 OH Yes
Pediatric Dentistry 1223P0221X 30022080 OH

Addresses

Primary practice location

151 E Main St
West Jefferson, OH 43162-1244

Mailing address

151 E Main St
West Jefferson, OH 43162-1244
Phone (614) 870-1333

Other practice location 1

3646 E Main St
Whitehall, OH 43213-2913
Phone (614) 231-4800

Other practice location 2

982 Galloway Rd
Galloway, OH 43119-8293
Phone (614) 870-1333

Other providers in West Jefferson, OH

All providers in West Jefferson, OH · Pediatric Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.