Provider Demographics
NPI:1861788721
Name:KIMREY, JOSHUA J (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:J
Last Name:KIMREY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8912 TOWN AND COUNTRY CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4900
Mailing Address - Country:US
Mailing Address - Phone:865-691-0995
Mailing Address - Fax:
Practice Address - Street 1:8912 TOWN AND COUNTRY CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4900
Practice Address - Country:US
Practice Address - Phone:865-691-0995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN93221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice