| C. David Brickman, Dds, Ms, Pc | |
|
1816 Main St Alton IL 62002-4724 | |
| (618) 462-1081 | |
| Not Available |
| Full Name | C. David Brickman, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1816 Main St, Alton, Illinois |
| Authorized Official Name and Position | Carl David Brickman (OWNER) |
| Authorized Official Contact | 6184621081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. David Brickman, Dds, Ms, Pc 112 Summer Pointe Edwardsville IL 62025 Ph: (618) 655-9434 | C. David Brickman, Dds, Ms, Pc 1816 Main St Alton IL 62002-4724 Ph: (618) 462-1081 |
| NPI Number | 1891884920 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891884920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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