Organization
BRANDON M. PIPER, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON MICHAEL PIPER D.M.D. (PRESIDENT)
(618) 977-5245
Entity
Organization
Contact information
Practice address
469 W WOOD ST, DECATUR, IL 62522-3109
(217) 428-3512
(217) 428-3525
Mailing address
2627 SPYGLASS CT APT D, EDWARDSVILLE, IL 62025-3679
(618) 977-5245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027684
IL
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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