KYLE D. PATCH (NPI# 1730669573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730669573 |
| Entity Type | Individual |
| Full Name | KYLE D. PATCH |
| Credential | DMD |
| Practice Address |
1200 Network Centre Dr Ste 2 Effingham IL 62401-4637 |
| Practice Telephone | 2175405100 |
| Mailing Telephone | 2175408386 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1001919-15 | WI | Dental Providers |
| Street Address |
1200 NETWORK CENTRE DR STE 2 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679197834 | Andrew Guirguis | Dentist | 1200 Network Centre Dr Ste 2, Effingham, IL 62401-4637 | 2020-06-03 |
| 1568086718 | Jaime Ruiz Jr. | Dentist | 1200 Network Centre Dr Ste 2, Effingham, IL 62401-4637 | 2020-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255560140 | Alison Conant | Dentist | 1200 Network Centre Dr Ste B, Effingham, IL 62401-4637 | 2009-07-13 |
| 1972635001 | Adam Link | Dentist | 700 N Keller Dr, Effingham, IL 62401-1737 | 2007-03-12 |
| 1912099573 | Ted Koester | Dentist | 111 South First Street, Effingham, IL 62401 | 2006-09-29 |
| 1740384825 | Margaret Jane Merry-niebrugge | Dentist | 107 S Third St, Effingham, IL 62401-3632 | 2006-09-11 |
| 1326651209 | Laura Bernitsky | Dentist | 1200 Network Centre Dr, Effingham, IL 62401-4602 | 2020-08-28 |
| 1730790056 | Thomas Knape | Dentist | 1200 Network Centre Dr, Effingham, IL 62401-4602 | 2020-08-11 |
| 1326658683 | Alexa Fritz | Dentist | 1200 Network Centre Dr, Effingham, IL 62401-4602 | 2020-08-03 |
| 1538778667 | Leslie Erbe | Dentist | 1200 Network Centre Dr, Effingham, IL 62401-4602 | 2020-07-24 |
| 1205444650 | Justin Sanders | Dentist | 1200 Network Centre Dr, Effingham, IL 62401-4602 | 2020-07-21 |
| 1427676485 | Mariannina Savoca Astudillo | Dentist | 1200 Network Centre Dr, Effingham, IL 62401-4602 | 2020-07-07 |
| Find all providers in EFFINGHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.