KYLE CHILDERS SPECIALTY PARTNERS OF ILLINOIS, PLLC
NPI 1952277824
Dentist - Orthodontics and Dentofacial Orthopedics in Benton, IL

Active since October 16, 2025
201 W WASHINGTON ST, BENTON, IL 62812(618) 438-2815 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Childers Specialty Partners Of Illinois, Pllc NPPES

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

KYLE CHILDERS SPECIALTY PARTNERS OF ILLINOIS, PLLC (NPI 1952277824) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Benton, Illinois and active in the NPI registry since October 2025. The organization maintains 2 additional practice locations and lists Krystal Richardson, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1952277824
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameKYLE CHILDERS SPECIALTY PARTNERS OF ILLINOIS, PLLC
Location Address201 W WASHINGTON STBenton, IL 62812-1382
Mailing Address820 W 42nd St Ste 2300Scottsbluff, NE 69361-5016 · (308) 260-0241
Organization SubpartNo
Authorized OfficialKrystal RichardsonDirector Of Revenue Cycle · (214) 934-7995
Enumeration DateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1952277824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
201 W WASHINGTON ST, Benton, IL 62812

Secondary Practice Locations 2

Location 1300 Small StHarrisburg, IL 62946-3325 · Phone (618) 252-0770
Location 23315 Patriot CtHerrin, IL 62948-3782 · Phone (618) 997-1800

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
201 W WASHINGTON ST
BENTON, IL 62812
Dentist (Orthodontics and Dentofacial Orthopedics)
201 W WASHINGTON ST
BENTON, IL 62812

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 Kyle Childers Specialty Partners Of Illinois, PLLC's NPI number?

The NPI number for Kyle Childers Specialty Partners Of Illinois, PLLC is 1952277824. It was assigned to this organization in the NPPES registry on October 16, 2025.

Where is Kyle Childers Specialty Partners Of Illinois, PLLC located?

Kyle Childers Specialty Partners Of Illinois, PLLC is located at 201 W Washington St, Benton, IL 62812. The listed phone number is (618) 438-2815.

What is Kyle Childers Specialty Partners Of Illinois, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Kyle Childers Specialty Partners Of Illinois, PLLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.