1. Home
  2. Directory
  3. Alabama
  4. Huntsville
  5. Dentist
  6. NPI Profile

DR. R. DENTON KIMBROUGH D.M.D.
NPI 1215950670
Dentist - General Practice in Huntsville, AL

Active since July 26, 2006Opted out of Medicare · through Nov 12, 2027
1101 GLENEAGLES DR SW, HUNTSVILLE, AL 35801(256) 881-0024(256) 881-8982 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. R. Denton Kimbrough D.m.d. NPPES

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

DR. R. DENTON KIMBROUGH D.M.D. (NPI 1215950670) is an individual general practice provider in Huntsville, Alabama, licensed in Alabama (3431) and active in the NPI registry since July 2006. He has opted out of Medicare through November 12, 2027.

NPPES Registry Identity

NPI1215950670
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. R. DENTON KIMBROUGHCredential: D.M.D.
Location Address1101 GLENEAGLES DR SWHuntsville, AL 35801-6405
Mailing Address1101 Gleneagles Dr SwHuntsville, AL 35801-6405 · (256) 881-0024 · Fax (256) 881-8982
Phone(256) 881-0024
Fax(256) 881-8982
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215950670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AL · 3431
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.
1101 GLENEAGLES DR SW, Huntsville, AL 35801
Open in Google Maps ↗

Other Identifiers 2

Other852858AL · United Concordia
Other92171AL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. R. Denton Kimbrough D.m.d. 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 November 12, 2015 through November 12, 2027.

Opt-Out Effective DateNovember 12, 2015
Opt-Out In Effect ThroughNovember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

ELLIS DENTISTRY LLC
Clinic/Center (Dental)
1101 GLENEAGLES DR SW
HUNTSVILLE, AL 35801
Madison County (256) 881-4441
DR. SARAH SCHMIDT ELLIS D.M.D
Dentist
1101 GLENEAGLES DR SW
HUNTSVILLE, AL 35801
Madison County (256) 881-4441
DR. STANLEY MARVIN O'DONNELL DMD
Dentist
1101 GLENEAGLES DR SW
HUNTSVILLE, AL 35801
Madison County (256) 881-4441

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 R. Kimbrough's NPI number?

The NPI number for R. Kimbrough is 1215950670. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is R. Kimbrough located?

R. Kimbrough practices at 1101 Gleneagles Dr SW, Huntsville, AL 35801. The listed phone number is (256) 881-0024.

What is R. Kimbrough's specialty?

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

Is R. Kimbrough enrolled in Medicare?

No. R. Kimbrough has opted out of Medicare through November 12, 2027. 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 R. Kimbrough was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.