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Active NPI 1588862254 Individual Practitioner Male Practitioner

Dr. Kenneth Lee Myracle , DMD

Dentist - General Practice • Mattoon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Myracle, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mattoon, IL. Practice services are available at 700 BROADWAY AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 Broadway Ave E

Mattoon, IL 619384671

Telephone 2172351101
Associated Practice Facility / Clinic
🏢 Crossing Dental Care Pc Facility NPI 1811699671

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Mattoon, 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

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Mary Mcguire , APN, BC

Nurse Practitioner - Family

NPI 1215992805

Advanced Practice Nurse, BC

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 700 BROADWAY AVE E, MATTOON, IL 619384671 (Tel: 2172351101)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13 S COUNTRY CLUB RD, MATTOON, IL 619389023 (Tel: 2172588781)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH MYRACLE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration July 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588862254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

13 S Country Club Rd

Mattoon, IL 619389023

Phone: 2172588781

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.