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RANDAL S. KIMBROUGH
NPI 1174879894
Dentist - General Practice in Springdale, AR

Active since July 31, 2012
2702 AMERICAN ST, SPRINGDALE, AR 72764(479) 751-9899 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randal S. Kimbrough NPPES

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

RANDAL S. KIMBROUGH (NPI 1174879894) is a healthcare organization registered as a general practice in Springdale, Arkansas and active in the NPI registry since July 2012. The organization lists Marsha Kimbrough, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174879894
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRANDAL S. KIMBROUGH
Location Address2702 AMERICAN STSpringdale, AR 72764-6937
Mailing Address2702 American StSpringdale, AR 72764-6937 · (479) 751-9899
Phone(479) 751-9899
Organization SubpartNo
Authorized OfficialMarsha KimbroughOffice Manager · (479) 751-9899
Enumeration DateJuly 31, 2012
✔ NPI 1174879894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2702 AMERICAN ST, Springdale, AR 72764
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Other Identifiers 1

Medicaid177728608AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONATHAN SCOTT KIMBROUGH
Dentist (General Practice)
2702 AMERICAN ST
SPRINGDALE, AR 72764
Washington County (479) 751-9899
DR. RANDAL SHEPARD KIMBROUGH D.D.S.
Dentist (General Practice)
2702 AMERICAN ST
SPRINGDALE, AR 72764
Washington County (479) 751-9899

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 Randal S. Kimbrough's NPI number?

The NPI number for Randal S. Kimbrough is 1174879894. It was assigned to this organization in the NPPES registry on July 31, 2012.

Where is Randal S. Kimbrough located?

Randal S. Kimbrough is located at 2702 American St, Springdale, AR 72764. The listed phone number is (479) 751-9899.

What is Randal S. Kimbrough's specialty?

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

When was this NPI record last updated?

The NPPES record for Randal S. Kimbrough was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.