MR. KIM PIERSON KORNEGAY DMD
NPI 1417066093
Dentist - General Practice in Prattville, AL

Q: What is Kim Kornegay's NPI number?

The NPI number for Kim Kornegay is 1417066093. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Kim Kornegay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Kornegay 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.

Active since August 29, 2006

711 KORNEGAY DRIVE, SUITE A, PRATTVILLE, AL 36066(334) 285-7111(334) 285-3310 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mr. Kim Pierson Kornegay Dmd NPPES

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

MR. KIM PIERSON KORNEGAY DMD (NPI 1417066093) is an individual general practice provider in Prattville, Alabama, licensed in Alabama (CS3863) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417066093

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. KIM PIERSON KORNEGAYCredential: DMD

Location Address711 KORNEGAY DRIVE, SUITE APrattville, AL 36066-7715

Mailing Address711 Kornegay Drive, Suite APrattville, AL 36066-7715 · (334) 285-7111 · Fax (334) 285-3310

Phone(334) 285-7111

Fax(334) 285-3310

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417066093 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 · CS3863

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.

711 KORNEGAY DRIVE, Prattville, AL 36066

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Other Identifiers 2

Other90076AL · Blue Cross Blue Shield

Other776896AL · United Concordia

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 Kim Kornegay's NPI number?

The NPI number for Kim Kornegay is 1417066093. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kim Kornegay located?

Kim Kornegay practices at 711 Kornegay Drive Suite A, Prattville, AL 36066. The listed phone number is (334) 285-7111.

What is Kim Kornegay'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 Kim Kornegay 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.