Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE R CHILDERS, DMD, MS
Active Sole ProprietorKYLE R CHILDERS, DMD, MS is a Orthodontics healthcare provider located in BENTON, Illinois. NPI 1699914762 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BENTON, IL
Registration Details
- NPI Number
- 1699914762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2009 (17.470278911111 yrs)
- Last Updated
- Feb 13, 2009
- License
-
019022000 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 W WASHINGTON STBENTON, IL, 628121382Browse IL providers · Browse ZIP 62812
- Phone
- 6184382815
- Fax
- 6184396127
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.