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

Kyle Allen Clark, DMD

Individual provider General Practice Dentistry · NPI 1639521206

Kyle Allen Clark, DMD is a General Practice Dentistry in Salem, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

113 Cross Creek Blvd
Salem, IL 62881-1921
Phone: (618) 548-4480
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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 · Licence 019030831 (IL)

Record details

NPI number1639521206
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESJuly 7, 2016
Mailing address113 Cross Creek Blvd, Salem, IL 62881-1921

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