Kaleb Blaine Shumard, DMD

NPI #1629964531 in Decatur, Illinois

Provider Information

NPI Number: 1629964531
Entity Type: Individual
Name: Kaleb Blaine Shumard, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 16, 2025
Last Updated: Jun 16, 2025

Practice Location

Address: 1353 E MOUND RD STE 102
City: Decatur
State: Illinois
ZIP Code: 62526-3676
Phone: (217) 877-1601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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