| Kyle Childers Specialty Partners Of Illinois, Pllc | |
|
201 W Washington St Benton IL 62812-1382 | |
| (618) 438-2815 | |
| Not Available |
| Full Name | Kyle Childers Specialty Partners Of Illinois, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 201 W Washington St, Benton, Illinois |
| Authorized Official Name and Position | Krystal Richardson (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 2149347995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Childers Specialty Partners Of Illinois, Pllc 820 W 42nd St Ste 2300 Scottsbluff NE 69361-5016 Ph: (308) 260-0241 | Kyle Childers Specialty Partners Of Illinois, Pllc 201 W Washington St Benton IL 62812-1382 Ph: (618) 438-2815 |
| NPI Number | 1952277824 |
|---|---|
| Provider Enumeration Date | 10/16/2025 |
| Last Update Date | 10/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952277824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Kyle R Childers Dmd Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Washington St, Benton, IL 62812 Phone: 618-438-2815 Fax: 618-439-6127 | |
Dawn A Jackson-breeden Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 E Park St, Benton, IL 62812 Phone: 618-439-4391 |