| Audrey Brakensiek, DMD | |
|
708 E Bethalto Dr, Bethalto, IL 62010-1871 | |
| (618) 377-0044 | |
| Not Available |
| Full Name | Audrey Brakensiek |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 708 E Bethalto Dr, Bethalto, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437083482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019037186 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Brakensiek, DMD 1905 Tyler Timmins Dr Apt 6, Wood River, IL 62095-3388 Ph: () - | Audrey Brakensiek, DMD 708 E Bethalto Dr, Bethalto, IL 62010-1871 Ph: (618) 377-0044 |
Dr. Adam M Snyder, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 705 Kansas St, Bethalto, IL 62010 Phone: 618-596-3725 | |
Dr. Alan Joseph Wickenhauser, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 708 E Bethalto Blvd, Bethalto, IL 62010 Phone: 618-377-0044 |