Kimberly J. Fabre, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14179 Issued in FL

Legal business name

KIMBERLY J. FABRE, DDS, PA

Practice address

501 Village Green Pkwy Ste 8
Bradenton, FL 34209-3401

Phone

(941) 792-0944

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Jaye Fabre, DDS

Title

President

Phone

(941) 792-0944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578602645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VILLAGE GREEN PKWY STE 8",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093401",
            "telephone_number": "941-792-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VILLAGE GREEN PKWY STE 8",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093401",
            "telephone_number": "941-792-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY J. FABRE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FABRE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-792-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.