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MRS. KIMBERLEY BROOKE MOWERY DMD
NPI 1063716678
Dentist - General Practice in Gainesville, FL

Active since December 23, 2010Opted out of Medicare · through Feb 18, 2028
4960 NEWBERRY ROAD, SUITE 220, GAINESVILLE, FL 32607(352) 332-6725(352) 332-6725 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberley Brooke Mowery Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLEY BROOKE MOWERY DMD (NPI 1063716678) is an individual general practice provider in Gainesville, Florida, licensed in Florida (DN15902) and active in the NPI registry since December 2010. She has opted out of Medicare through February 18, 2028.

NPPES Registry Identity

NPI1063716678
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. KIMBERLEY BROOKE MOWERYCredential: DMD
Location Address4960 NEWBERRY ROAD, SUITE 220Gainesville, FL 32607
Mailing Address4960 Newberry Road, Suite 220Gainesville, FL 32607 · (352) 332-6725 · Fax (352) 372-1717
Phone(352) 332-6725
Fax(352) 332-6725
Sole ProprietorNo
Enumeration DateDecember 23, 2010
✔ NPI 1063716678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN15902
Definition
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.
4960 NEWBERRY ROAD, Gainesville, FL 32607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kimberley Brooke Mowery Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2024 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2024
Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Mowery's NPI number?

The NPI number for Kimberley Mowery is 1063716678. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Where is Kimberley Mowery located?

Kimberley Mowery practices at 4960 Newberry Road Suite 220, Gainesville, FL 32607. The listed phone number is (352) 332-6725.

What is Kimberley Mowery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kimberley Mowery enrolled in Medicare?

No. Kimberley Mowery has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberley Mowery was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.