Kyle R Childers Dmd Ms Pc in Benton - Orthodontics And Dentofacial Orthopedics
Kyle R Childers Dmd Ms Pc - NPI 1497897284
Kyle R Childers Dmd Ms Pc is a Orthodontics And Dentofacial Orthopedics in Benton, Illinois. Kyle R Childers Dmd Ms Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kyle R Childers Dmd Ms Pc is 1497897284. The last update date is 2020-08-22.
Kyle R Childers Dmd Ms Pc's current location address is 201 W Washington St, Benton, Illinois. You can contact this provider via phone number 6184382815 and fax number 6184396127. The mailing address for Kyle R Childers Dmd Ms Pc is 201 W Washington St, Benton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kyle R Childers Dmd Ms Pc |
|---|---|
| Address | 201 W Washington St, Benton, Illinois |
| Phone Number | 6184382815 |
| Fax Number | 6184396127 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Childers Ray Kyle |
| Credentials | DMD MS |
| Telephone Number | 6184382815 |
NPI Number Detail
| NPI Number | 1497897284 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 201 W Washington St |
|---|---|
| City | Benton |
| State | Illinois (IL) |
| Post Code | 62812 |
| Phone Number | 6184382815 |
| Fax Number | 6184396127 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code issued to Kyle R Childers Dmd Ms Pc by the Centers for Medicare & Medicaid Services?
The Kyle R Childers Dmd Ms Pc has been assigned the NPI (National Provider Identifier) 1497897284 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kyle R Childers Dmd Ms Pc is physically located?
The Kyle R Childers Dmd Ms Pc is situated at the following address: 201 W Washington St, Benton, IL 62812.
What is the area of specialization for Kyle R Childers Dmd Ms Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kyle R Childers Dmd Ms Pc is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
When did Kyle R Childers Dmd Ms Pc receive its 1497897284 assignment?
The Kyle R Childers Dmd Ms Pc was assigned its 1497897284 on 2007-02-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kyle R Childers Dmd Ms Pc most recently updated or revised?
The details related to Kyle R Childers Dmd Ms Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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