Alton Area Orthodontics | |
1816 Main St Alton IL 62002-4724 | |
(618) 462-1081 | |
Not Available |
Full Name | Alton Area Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1816 Main St, Alton, Illinois |
Authorized Official Name and Position | C. David Brickman (ORTHODONTIST) |
Authorized Official Contact | 16184621081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alton Area Orthodontics 1816 Main St Alton IL 62002-4724 Ph: (618) 462-1081 | Alton Area Orthodontics 1816 Main St Alton IL 62002-4724 Ph: (618) 462-1081 |
NPI Number | 1487859674 |
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Provider Enumeration Date | 06/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487859674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19024626 (Illinois) | Primary |
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