| C David Brickman Dds Ms Pc | |
|
144 West Street Edwardsville IL 62025 | |
| (618) 656-3837 | |
| (618) 656-3520 |
| Full Name | C David Brickman Dds Ms Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 144 West Street, Edwardsville, Illinois |
| Authorized Official Name and Position | C David Brickman (PRESIDENT) |
| Authorized Official Contact | 6186563837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C David Brickman Dds Ms Pc 144 West St Edwardsville IL 62025-1468 Ph: (618) 656-3837 | C David Brickman Dds Ms Pc 144 West Street Edwardsville IL 62025 Ph: (618) 656-3837 |
| NPI Number | 1992713861 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992713861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021001903 (Illinois) | Primary |
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