Individual provider · Type 1 NPI
Kyle Allen Clark, DMD
General Practice Dentistry · Salem, IL
NPI number
1639521206
Active
Practice location
113 Cross Creek Blvd
Salem, IL 62881-1921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019030831 (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.
Another provider at this address
Other general practice dentistry providers in Salem
About NPI 1639521206
Kyle Allen Clark, DMD's National Provider Identifier is 1639521206, issued on Jul 7, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salem, IL. The record was last updated on Jul 7, 2016.