DR. BRIAN C BACK D.M.D.
NPI 1053565218
Dentist - General Practice in Mascoutah, IL
- Individual
- Male
- Dentist
- General Practice
About BRIAN BACK
This page provides the complete NPI Profile along with additional information for Brian Back, a provider established in Mascoutah, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1053565218 assigned on November 2008. The practitioner's primary taxonomy code is 1223G0001X with license number 019027792 (IL). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1053565218 Verify this NPI
- Provider Name
- DR. BRIAN C BACK D.M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 104 E MAIN ST MASCOUTAH, IL 62258
- Location Phone
- (618) 566-7384
- Location Fax
- (618) 566-4290
- Mailing Address
- 104 E MAIN ST P.O. BOX 142 MASCOUTAH, IL 62258
- Mailing Phone
- (618) 566-7384
- Mailing Fax
- (618) 566-4290
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-13-2008
- Last Update Date
- 06-01-2011
- Code Navigator
A dentist like Brian Back is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 019027792
- License State
- IL
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053565218, enumerated as an "individual" on November 13, 2008.
The provider is located at 104 E MAIN ST MASCOUTAH, IL 62258 and the phone number is (618) 566-7384.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
