Independent US Healthcare Provider Directory & Public Medical Database
🏥
Active NPI 1891957726 Organization (Entity Type 2)

Krallyoder Pc

Dentist - General Practice • Metamora, IL

About Krallyoder Pc NPI 1891957726 Summary

Krallyoder Pc is a verified healthcare organization specializing in Dentist - General Practice operating in Metamora, IL. Located at 212 N DAVENPORT ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1891957726.

Administrative operations and authorized compliance are overseen by Kyle Krall (President).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

212 N Davenport St

Metamora, IL 615489395

Telephone 3093692378

Authorized Official Information

Authorized Contact Name

DR. Kyle Krall , DDS

Title / Role

President

Official Telephone

3093672378

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

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.

Dentist - General Practice

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.

Clinic/Center - Dental

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dentist - General Practice

Metamora, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
🏛️
Organization / Clinic Name Updated May 04, 2022

Operating as KRALLYODER PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2022

Dentist (License #019018768 in IL)

NPI Profile Active July 01, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2008

Registered at 212 N DAVENPORT ST, METAMORA, IL 615489395 (Tel: 3093692378)

📍
Updated Business Mailing Address July 01, 2008

Registered at 212 N DAVENPORT ST, PO BOX 920, METAMORA, IL 615489395 (Tel: 3093692378)

🏛️
Organization / Clinic Name Updated July 01, 2008

Operating as BALDIKRALL, PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2008

Dentist (License #019025832 in IL)

🟢
Initial NPI Registration & Enumeration July 01, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
No reviews submitted yet for Krallyoder Pc. Be the first to share your experience with this healthcare facility!
Have you visited Krallyoder Pc? Sign in to your TRUE-MEDINFO account to submit a rating and review.
Sign In to Write a Review →

NPI Organization Metadata

NPI Number: 1891957726
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 01, 2008
Last Update: May 04, 2022

Mailing Address

212 N Davenport St, Po Box 920

Metamora, IL 615489395

Phone: 3093692378

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.