| Brandon M. Piper, Dmd, P.c. | |
|
469 W Wood St Decatur IL 62522-3109 | |
| (217) 428-3512 | |
| (217) 428-3525 |
| Full Name | Brandon M. Piper, Dmd, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 469 W Wood St, Decatur, Illinois |
| Authorized Official Name and Position | Brandon Michael Piper (PRESIDENT) |
| Authorized Official Contact | 6189775245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon M. Piper, Dmd, P.c. 2627 Spyglass Ct Apt D Edwardsville IL 62025-3679 Ph: (618) 977-5245 | Brandon M. Piper, Dmd, P.c. 469 W Wood St Decatur IL 62522-3109 Ph: (217) 428-3512 |
| NPI Number | 1396074969 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396074969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027684 (Illinois) | Primary |
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