Organization
DAWN A JACKSON-BREEDEN DMD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JACKSON-BREEDEN DMD (PRESIDENT)
(618) 439-4391
Entity
Organization
Contact information
Practice address
405 E PARK ST, BENTON, IL 62812-1971
(618) 439-4391
Mailing address
300 ARBOR DR, CARTERVILLE, IL 62918-1042
(618) 439-4391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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