Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003977893 Individual Practitioner Male Practitioner

Dr. John Dexter Kimball , DDS

Dentist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Kimball, DDS is a registered healthcare professional specializing in Dentist in Spokane, WA. Practice services are available at 3151 E 29TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3151 E 29th Ave

Spokane, WA 992234800

Telephone 5095358838
Fax 5095358854
Associated Practice Facility / Clinic
🏢 Scott J. Starley Dds, Msd, Ps Facility NPI 1558583336

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
127 Specialists

Practicing in Spokane, WA (2853 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00005584

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License #
DE00005584 (WA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Michael Woodland , PTA

Physical Therapy Assistant

NPI 1043745359

Physical Therapist Assistant

Arch Harrison , PTA, LMP

Massage Therapist

NPI 1215086947

Physical Therapist Assistant, Licensed Massage Practitioner

Alex Pagotelis , MS, PT

Physical Therapist

NPI 1548480205

Master of Science, Physical Therapist

Dr. Scott Starley , DDS, MSD

Dentist - Endodontics

NPI 1831244292

Doctor of Dental Surgery, MSD

Deborah Ham , PT

Physical Therapist

NPI 1932200284

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3151 E 29TH AVE, SPOKANE, WA 992234800 (Tel: 5095358838)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3151 E 29TH AVE, SPOKANE, WA 992234800 (Tel: 5095358838)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN KIMBALL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DE00005584 in WA)

🟢
Initial NPI Registration & Enumeration December 13, 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: 1003977893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

3151 E 29th Ave

Spokane, WA 992234800

Phone: 5095358838

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.