Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639180920 Individual Practitioner Male Practitioner

Dr. Eric Lee Kimball , DDS

Dentist - General Practice • Waterloo, IA

Professional Overview & Biography Verified Profile Summary

Dr. Eric Kimball, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waterloo, IA. Practice services are available at 315 E SAN MARNAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

315 E San Marnan Dr

Waterloo, IA 507025837

Telephone 3192356287
Fax 3192356740
Associated Practice Facility / Clinic
🏢 Kpt Llc Facility NPI 1164738027

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Waterloo, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 7999

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wellmark Bcbs Provider #
41948
Commercial Insurance / Payer ID Bcbs Of Alabama
640-03389 (AL)
Commercial Insurance / Payer ID Delta Dental Of Iowa
7999IA 002 (IA)
Commercial Insurance / Payer ID United Concordia
742541

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Brian Bouck , DDS

Dentist - General Practice

NPI 1073757910

Doctor of Dental Surgery

Dr. Melanie Zasadny , DDS

Dentist - General Practice

NPI 1255062659

Doctor of Dental Surgery

Dr. Kate Kragenbrink , DDS

Dentist - General Practice

NPI 1508544198

Doctor of Dental Surgery

NPI 1720973704

Doctor of Dental Surgery

NPI 1790601953

Doctor of Dental Surgery

Dr. Beau Beecher , DDS

Dentist - General Practice

NPI 1912918269

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 315 E SAN MARNAN DR, WATERLOO, IA 507025837 (Tel: 3192356287)

📍
Updated Business Mailing Address July 08, 2007

Registered at 301 SHERIDAN RD, WATERLOO, IA 507014023 (Tel: 3192328386)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ERIC KIMBALL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7999 in IA)

🟢
Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639180920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

301 Sheridan Rd

Waterloo, IA 507014023

Phone: 3192328386

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.