Organization · Type 2 NPI

Kyle R Childers DMD MS PC

Orthodontics and Dentofacial Orthopedics Dentistry · Benton, IL

NPI number 1497897284 Active

Practice location

201 W Washington St
Benton, IL 62812

Fax (618) 439-6127

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1497897284

Kyle R Childers DMD MS PC's National Provider Identifier is 1497897284, issued on Feb 12, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Benton, IL. The record was last updated on Aug 22, 2020.