John Brian Crisham, D.M.D.

General Practice Dentistry · Oregon, IL

Individual Active NPI

NPI number 1609084706

Practice location

1307 W Washington St
Suite 130
Oregon, IL 61061-1022
Phone
(815) 732-6911

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NPI record

NPI
1609084706
Entity type
Individual (Type 1)
Enumeration date
May 20, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

Mailing address

2934 S Lowden Rd
Oregon, IL 61061-9101
Phone
(815) 732-2787

About Dr. Crisham

John Brian Crisham, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1307 W Washington St, Suite 130, Oregon, IL 61061-1022. The NPI number 1609084706 was assigned on May 20, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of John Brian Crisham, D.M.D.?

The NPI number is 1609084706.

What is the phone number of Dr. Crisham?

The phone number listed for the practice location is (815) 732-6911.

Where is Dr. Crisham located?

1307 W Washington St, Suite 130, Oregon, IL 61061-1022.

What is the taxonomy code for Dr. Crisham?

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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