Organization
C DAVID BRICKMAN DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C DAVID BRICKMAN DDS MS (PRESIDENT)
(618) 656-3837
Entity
Organization
Contact information
Practice address
144 WEST STREET, EDWARDSVILLE, IL 62025
(618) 656-3837
(618) 656-3520
Mailing address
144 WEST ST, EDWARDSVILLE, IL 62025-1468
(618) 656-3837
(618) 656-3520
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001903
IL
Other
Enumeration date
08/04/2006
Last updated
10/10/2016
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