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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019028144 (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.