Individual provider · Type 1 NPI
Ralph Kimbrough, DMD
General Practice Dentistry · Carbondale, IL
NPI number
1053647032
Active
Practice location
402 S. Lewis Ln
Carbondale, IL 62901-3547
Fax (618) 519-9375
Mailing address
109 California St, PO Box 877
Carterville, IL 62918-1923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019028144 (IL) |
General Practice Dentistry: 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.
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About NPI 1053647032
Ralph Kimbrough, DMD's National Provider Identifier is 1053647032, issued on Oct 26, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Carbondale, IL. The record was last updated on Aug 2, 2013.