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RALPH KIMBROUGH DMD
NPI 1053647032
Dentist - General Practice in Carbondale, IL

Active since October 26, 2009
402 S. LEWIS LN, CARBONDALE, IL 62901(618) 519-9901(618) 519-9375 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph Kimbrough Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALPH KIMBROUGH DMD (NPI 1053647032) is an individual general practice provider in Carbondale, Illinois, licensed in Illinois (019028144) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1053647032
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRALPH KIMBROUGHCredential: DMD
Location Address402 S. LEWIS LNCarbondale, IL 62901-3547
Mailing Address109 California St, Po Box 877Carterville, IL 62918-1923 · (618) 985-8221 · Fax (618) 985-6860
Phone(618) 519-9901
Fax(618) 519-9375
Sole ProprietorNo
Enumeration DateOctober 26, 2009
Last NPPES UpdateAugust 2, 2013
✔ NPI 1053647032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019028144
Definition
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.
402 S. LEWIS LN, Carbondale, IL 62901
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Other Identifiers 1

Medicaid019028144IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralph Kimbrough's NPI number?

The NPI number for Ralph Kimbrough is 1053647032. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Where is Ralph Kimbrough located?

Ralph Kimbrough practices at 402 S. Lewis Ln, Carbondale, IL 62901. The listed phone number is (618) 519-9901.

What is Ralph Kimbrough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ralph Kimbrough accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BEST Life and Blue Cross and Blue Shield of Alabama and 9 other insurers list Ralph Kimbrough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ralph Kimbrough was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.