DR. KEVIN B DELATOUR (NPI# 1508070764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508070764 |
| Entity Type | Individual |
| Full Name | DR. KEVIN B DELATOUR |
| Credential | DMD |
| Practice Address |
808 North Main Benton IL 62812 |
| Mailing Address |
Po Box 87 Benton IL 62812 |
| Practice Telephone | 6184356772 |
| Practice Fax Number | 6184383333 |
| Mailing Telephone | 6184356772 |
| Mailing Fax Number | 6184383333 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
808 NORTH MAIN |
| City | BENTON |
| State | IL |
| Zip Code | 62812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| 1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
| 1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
| 1497897284 | Kyle R Childers Dmd Ms PC | Dentist | 201 W Washington St, Benton, IL 62812 | 2007-02-12 |
| Find all providers in zip 62812 | ||||
| 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 |
|---|---|---|---|---|
| 1396069878 | Lori Lynn Weaver | Dentist | 1037 Kelley, Benton, AR 72019-2216 | 2010-03-26 |
| 1861665515 | Justin Bethel | Dentist | 407 Highway 5 North, Benton, AR 72019 | 2008-04-02 |
| 1053446450 | Jason Dewayne Nicholson | Dentist | 6151 Hwy 411, Benton, TN 37307 | 2007-02-23 |
| 1447321708 | Kathleen A Wall Marks | Dentist | 3310 Highway 5 North, Benton, AR 72019 | 2006-11-10 |
| 1184724650 | Preston Cooper | Dentist | 1215 Military Rd, Suite 5, Benton, AR 72015 | 2006-09-25 |
| 1306951397 | Lendall Carroll Shell | Dentist | 2101 C Congo Rd, Benton, AR 72015 | 2006-08-20 |
| 1962416016 | Timothy Brian Scott | Dentist | 716 W South St, Benton, AR 72015-4160 | 2006-07-27 |
| 1447256607 | Brian E. Doss | Dentist | 978 Us Highway 68 E, Benton, KY 42025-7016 | 2005-06-22 |
| 1700309127 | Loredana Banu Wycliffe | Dentist | 216 E Carpenter St, Benton, AR 72015-3418 | 2017-07-18 |
| 1881816403 | Preston Cooper, Dds | Dentist | 1215 Military Rd, Suite 5, Benton, AR 72015 | 2007-05-03 |
| Find all providers in BENTON | ||||
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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.