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Kyle Allen Clark, DMD
General Practice Dentistry in Salem, Illinois
NPI 1639521206

Kyle Allen Clark is a General Practice Dentistry based in Salem, IL and is specialized in General Practice. Kyle Allen Clark practices in Salem, IL and has the professional credentials of DMD. The NPI Number for Kyle Allen Clark is 1639521206 and holds a License No. 019030831 (Illinois).

The current practice location address for Kyle Allen Clark is 113 Cross Creek Blvd, Salem, IL and can be reached out via phone at 618-548-4480.

Location: 113 Cross Creek Blvd, Salem, IL, 62881-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639521206
Provider Name
Kyle Allen Clark
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
113 Cross Creek Blvd, Salem, IL, 62881-1921
Phone Number
618-548-4480
Fax Number
Provider Enumeration Date
07/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 Cross Creek Blvd
City
Salem
State
Illinois
Zip
62881-1921
Phone Number
618-548-4480
Fax Number
person
Provider Business Mailing Address Details
Address
113 Cross Creek Blvd
City
Salem
State
Illinois
Zip
62881-1921
Phone Number
618-548-4480
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019030831 (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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