| Organization Name: | KIMBERLY T. LOUGH, DDS, MS, PLLC |
| NPI Number: | 1992905129 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY T LOUGH (PEDIATRIC DENTIST / OWNER) |
| Mailing Address: | 12 Kanawha Ter Suite B St Albans |
| State: | WV US |
| Postal Code: | 25177 |
| Phone Number: | 3047227221 |
| Fax Number: | 3047220420 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 3783 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |