Individual
DR. JOSEPH MARTIN CRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 EAST EVERETT ST, DIXON, IL 61021
(815) 284-6676
(815) 284-8667
Mailing address
122 EAST EVERETT ST, DIXON, IL 61021-2140
(815) 284-6676
(815) 284-8667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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