| Kyle R Childers, DMD, MS | |
|
201 W Washington St, Benton, IL 62812-1382 | |
| (618) 438-2815 | |
| (618) 439-6127 |
| Full Name | Kyle R Childers |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 201 W Washington St, Benton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699914762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019022000 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle R Childers, DMD, MS 201 W Washington St, Benton, IL 62812-1382 Ph: (618) 438-2815 | Kyle R Childers, DMD, MS 201 W Washington St, Benton, IL 62812-1382 Ph: (618) 438-2815 |
Dr. Dawn A Jackson-breeden, DMD Dentist Medicare: Medicare Enrolled Practice Location: 405 E Park St, Benton, IL 62812 Phone: 618-439-4391 Fax: 618-439-7410 | |
Dr. Kevin B Delatour, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 808 North Main, Benton, IL 62812 Phone: 618-435-6772 Fax: 618-438-3333 | |
Dr. Robin S Labuwi, D.M.D, Dentist Medicare: Medicare Enrolled Practice Location: 405 E Park St, Benton, IL 62812 Phone: 618-439-4366 |