Individual provider · Type 1 NPI

Kaleb Blaine Shumard, DMD

General Practice Dentistry · Decatur, IL

NPI number 1629964531 Active

Practice location

1353 E Mound Rd Ste 102
Decatur, IL 62526-3676

Call (217) 877-1601 Map

Mailing address

4574 Nicklaus Ct
Decatur, IL 62526-9315

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019036105 (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 1629964531

Kaleb Blaine Shumard, DMD's National Provider Identifier is 1629964531, issued on Jun 16, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Decatur, IL. The record was last updated on Jun 16, 2025.