Eric Jeffrey Kubacki, DMD

General Practice Dentistry · Alton, IL

Individual Active NPI

NPI number 1114702743

Practice location

2800 College Ave
Alton, IL 62002-4742
Phone
(618) 474-7000

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NPI record

NPI
1114702743
Entity type
Individual (Type 1)
Enumeration date
August 30, 2023
Last updated
September 24, 2024
Certified
September 24, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019033726 IL

Mailing address

1214 Oakleaf Dr
Saint Louis, MO 63119-1038
Phone
(815) 531-2746

About Dr. Kubacki

Eric Jeffrey Kubacki, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2800 College Ave, Alton, IL 62002-4742. The NPI number 1114702743 was assigned on August 30, 2023 and the record was last updated on September 24, 2024.

Dr. Kubacki lists a license in the registry: #019033726 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eric Jeffrey Kubacki, DMD?

The NPI number is 1114702743.

What is the phone number of Dr. Kubacki?

The phone number listed for the practice location is (618) 474-7000.

Where is Dr. Kubacki located?

2800 College Ave, Alton, IL 62002-4742.

What is the taxonomy code for Dr. Kubacki?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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