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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRALLYODER PC

Active Organization

KRALLYODER PC is a General Dentistry organization located in METAMORA, Illinois. NPI 1891957726 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · METAMORA, IL

Registration Details

NPI Number
1891957726
Provider Type
Organization
NPI Issued
Jul 1, 2008 (18.135276255003 yrs)
Last Updated
May 4, 2022
Licenses
019018768 (IL)
019025832 (IL)

Practice Information

Address
212 N DAVENPORT ST
METAMORA, IL, 615489395
Browse IL providers · Browse ZIP 61548
Phone
3093692378
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Dental Clinic
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.