| Ralph Kimbrough, DMD | |
|
402 S. Lewis Ln, Carbondale, IL 62901-3547 | |
| (618) 519-9901 | |
| (618) 519-9375 |
| Full Name | Ralph Kimbrough |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 402 S. Lewis Ln, Carbondale, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053647032 | NPI | - | NPPES |
| 019028144 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028144 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Kimbrough, DMD 109 California St, Po Box 877, Carterville, IL 62918-1923 Ph: (618) 985-8221 | Ralph Kimbrough, DMD 402 S. Lewis Ln, Carbondale, IL 62901-3547 Ph: (618) 519-9901 |
Dr. Donald Charles Summerlin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1240 Cedar Ct, Carbondale, IL 62901 Phone: 618-549-7621 Fax: 618-549-8570 | |
Dr. Dwayne Gail Summers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1365 Douglas Dr, Carbondale, IL 62901 Phone: 618-453-2353 Fax: 618-453-7020 | |
Terry Powers, DMD Dentist Medicare: Medicare Enrolled Practice Location: 402 S. Lewis Lane, Carbondale, IL 62901 Phone: 618-519-9901 Fax: 618-519-9375 | |
Audrey Fields, DDS Dentist Medicare: Medicare Enrolled Practice Location: 402 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9375 | |
Dr. Mazhar M. Butt, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1001 N Beadle Dr, Carbondale, IL 62901 Phone: 618-457-2123 Fax: 618-351-1401 | |
Dr. Laura Schall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 402 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9375 |