Kyle Childers Specialty Partners of Illinois, Pllc

NPI #1952277824 in Benton, Illinois

Provider Information

NPI Number
1952277824
Entity Type
Organization
Organization Name
Kyle Childers Specialty Partners of Illinois, Pllc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Oct 16, 2025
Last Updated
Oct 16, 2025

Practice Location

Address
201 W WASHINGTON ST
City
Benton
ZIP Code
62812-1382
Phone
(618) 438-2815

Authorized Official

Name
KRYSTAL RICHARDSON
Title
DIRECTOR OF REVENUE CYCLE
Phone
(214) 934-7995

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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