Bruce WM. Thackrey, DMD
General Practice Dentistry · Mount Vernon, IL
Practice location
1704 Jefferson AveMount Vernon, IL 62864-4331
- Phone
- (618) 244-2440
- Fax
- (618) 244-0607
NPI record
- NPI
- 1518914340
- Entity type
- Individual (Type 1)
- Enumeration date
- May 27, 2006
- Last updated
- July 13, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
19A15719 | IL |
About Dr. Thackrey
Bruce WM. Thackrey, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1704 Jefferson Ave, Mount Vernon, IL 62864-4331. The NPI number 1518914340 was assigned on May 27, 2006 and the record was last updated on July 13, 2026.
Dr. Thackrey lists a license in the registry: #19A15719 (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 Bruce WM. Thackrey, DMD?
The NPI number is 1518914340.
What is the phone number of Dr. Thackrey?
The phone number listed for the practice location is (618) 244-2440.
Where is Dr. Thackrey located?
1704 Jefferson Ave, Mount Vernon, IL 62864-4331.
What is the taxonomy code for Dr. Thackrey?
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.
Other General Practice Dentistry providers in Mount Vernon
- Tyson Wayne Tinsley, D.M.D.4214 Lincolnshire Dr
- Arthur Edward Ronat, DDS1720 Broadway St
- Michael R. Hiner, D.D.S.1704 Jefferson Ave
- Kathleen S. Renner, D.M.D4201 Williamson Pl
- William Clyde Osborn, D.M.D.101 S 27TH St
- Sehun Oh713 S 42ND St
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