Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053647032 Individual Practitioner Male Practitioner

Dr. Ralph Kimbrough , DMD

Dentist - General Practice • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Kimbrough, DMD is a registered healthcare professional specializing in Dentist - General Practice in Carbondale, IL. Practice services are available at 402 S. LEWIS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

402 S. Lewis Ln

Carbondale, IL 629013547

Telephone 6185199901
Fax 6185199375
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Carbondale, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019028144

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
019028144 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Terry Powers , DMD

Dentist - General Practice

NPI 1023344702

Doctor of Dental Medicine

NPI 1023509932

Doctor of Dental Surgery

Dr. Corey Harrington , DMD

Dentist - General Practice

NPI 1154727394

Doctor of Dental Medicine

NPI 1669917449

Doctor of Dental Medicine

NPI 1669990396
Mary Lyons , PA

Physician Assistant

NPI 1801952775

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2013

Registered at 402 S. LEWIS LN, CARBONDALE, IL 629013547 (Tel: 6185199901)

📍
Updated Business Mailing Address August 02, 2013

Registered at 109 CALIFORNIA ST, PO BOX 877, CARTERVILLE, IL 629181923 (Tel: 6189858221)

👤
Provider Name / Credentials Updated August 02, 2013

Recorded as RALPH KIMBROUGH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2013

Dentist (License #019028144 in IL)

🟢
Initial NPI Registration & Enumeration October 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ralph Kimbrough. Be the first to share your experience!

Sign in to leave a review for Dr. Ralph Kimbrough

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053647032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2009
Last Update: August 02, 2013
Sole Proprietor: No

Mailing Address

109 California St, Po Box 877

Carterville, IL 629181923

Phone: 6189858221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.