John Brian Crisham D.M.D.

NPI 1609084706 - Dentist - 1223G0001X

NPI Details
NPI 1609084706
Gender Male
Enumeration Date 05/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1307 W WASHINGTON ST
SUITE 130
OREGON IL, 61061-1022, US
Phone (815) 732-6911
Fax
Business Location
2934 S LOWDEN RD
OREGON IL, 61061-9101, US
Phone (815) 732-2787
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. John Brian Crisham D.M.D. NPI is 1609084706, taxonomy code is 1223G0001X John Brian Crisham D.M.D. physically located at 1307 W Washington St, Oregon IL, 61061-1022. NPI Number John Brian Crisham D.M.D. has the Individual type.

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1609084706 NPI number is provided on an as is basis without warranty of any kind. 1609084706 is maintained by the National Plan & Provider Enumeration System. The contents of John Brian Crisham D.M.D. are for informational purposes only.