Organization
BRANDON R MADDOX DMD SPRINGFIELD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON R MADDOX DMD (DENTIST)
(217) 546-4738
Entity
Organization
Contact information
Practice address
1100 RICKARD RD, STE B, SPRINGFIELD, IL 62704-6301
(217) 546-4738
(217) 546-5469
Mailing address
1100 RICKARD RD, STE B, SPRINGFIELD, IL 62704-6301
(217) 546-4738
(217) 546-5469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
09/16/2023
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