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Ralph Kimbrough, DMD
General Practice Dentistry in Carbondale, Illinois
NPI 1053647032

Ralph Kimbrough is a General Practice Dentistry based in Carterville, IL and is specialized in General Practice. Ralph Kimbrough practices in Carbondale, IL and has the professional credentials of DMD. The NPI Number for Ralph Kimbrough is 1053647032 and holds a License No. 019028144 (Illinois).

The current practice location address for Ralph Kimbrough is 402 S. Lewis Ln, Carbondale, IL and can be reached out via phone at 618-519-9901 and via fax at 618-519-9375. You can also correspond with Ralph Kimbrough through the mailing address at 109 CALIFORNIA ST, CARTERVILLE, IL - 62918-1923 (mailing address contact number: 618-985-8221).

Location: 402 S. Lewis Ln, Carbondale, IL, 62918-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053647032
Provider Name
Ralph Kimbrough
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
402 S. Lewis Ln, Carbondale, IL, 62918-1923
Phone Number
618-519-9901
Fax Number
618-519-9375
Provider Enumeration Date
10/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019028144 05 IL
institution
Provider Business Practice Location Address Details
Address
402 S. Lewis Ln
City
Carbondale
State
Illinois
Zip
62901-3547
Phone Number
618-519-9901
Fax Number
618-519-9375
person
Provider Business Mailing Address Details
Address
402 S. Lewis Ln
City
Carbondale
State
Illinois
Zip
62901-3547
Phone Number
618-519-9901
Fax Number
618-519-9375
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019028144 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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