Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Lee Myracle, DMD

Individual provider General Practice Dentistry · NPI 1588862254

Dr. Kenneth Lee Myracle, DMD is a General Practice Dentistry in Mattoon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

700 Broadway Ave E
Mattoon, IL 61938-4671
Phone: (217) 235-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1588862254
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 4, 2007
Last updated in NPPESJuly 8, 2007

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