Brian Lee Secrist, D.D.S.

General Practice Dentistry · Danville, IL

Individual Active NPI

NPI number 1306844667

Practice location

1900 E Main St
Danville, IL 61832-5100
Phone
(217) 554-5859

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NPI record

NPI
1306844667
Entity type
Individual (Type 1)
Enumeration date
July 11, 2005
Last updated
October 24, 2024
Certified
October 24, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 105294 CO

Mailing address

24206 Mateo RDG
San Antonio, TX 78261-4504
Phone
(303) 859-6016

About Dr. Secrist

Brian Lee Secrist, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1900 E Main St, Danville, IL 61832-5100. The NPI number 1306844667 was assigned on July 11, 2005 and the record was last updated on October 24, 2024.

Dr. Secrist lists a license in the registry: #105294 (CO) 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 Brian Lee Secrist, D.D.S.?

The NPI number is 1306844667.

What is the phone number of Dr. Secrist?

The phone number listed for the practice location is (217) 554-5859.

Where is Dr. Secrist located?

1900 E Main St, Danville, IL 61832-5100.

What is the taxonomy code for Dr. Secrist?

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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