Brian Anthony Prudent, DMD

General Practice Dentistry · Moline, IL

Individual Active NPI

NPI number 1528114675

Practice location

1828 Avenue of the Cities
Moline, IL 61265-4858
Phone
(309) 764-0008
Fax
(309) 764-0059

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NPI record

NPI
1528114675
Entity type
Individual (Type 1)
Enumeration date
January 25, 2007
Last updated
May 29, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.025580 IL

About Dr. Prudent

Brian Anthony Prudent, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1828 Avenue of the Cities, Moline, IL 61265-4858. The NPI number 1528114675 was assigned on January 25, 2007 and the record was last updated on May 29, 2015.

Dr. Prudent lists a license in the registry: #019.025580 (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 Brian Anthony Prudent, DMD?

The NPI number is 1528114675.

What is the phone number of Dr. Prudent?

The phone number listed for the practice location is (309) 764-0008.

Where is Dr. Prudent located?

1828 Avenue of the Cities, Moline, IL 61265-4858.

What is the taxonomy code for Dr. Prudent?

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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