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DR. MARISA C BLICKHAN DMD
NPI 1952143968
Dentist in Edwardsville, IL

Active since June 10, 2024
1427 LEWIS RD, EDWARDSVILLE, IL 62025(618) 207-4871 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marisa C Blickhan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARISA C BLICKHAN DMD (NPI 1952143968) is an individual dentist in Edwardsville, Illinois, licensed in Illinois (019.035173) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1952143968
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARISA C BLICKHANCredential: DMD
Location Address1427 LEWIS RDEdwardsville, IL 62025-4148
Mailing Address1610 Shurtleff CtAlton, IL 62002-4067
Phone(618) 207-4871
Sole ProprietorNo
Enumeration DateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1952143968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.035173
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1427 LEWIS RD, Edwardsville, IL 62025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HITE FAMILY DENTISTRY LLC
Dentist (General Practice)
1427 LEWIS RD
EDWARDSVILLE, IL 62025
Madison County (618) 656-9123
BENJAMIN HITE
Dentist (General Practice)
1427 LEWIS RD
EDWARDSVILLE, IL 62025
Madison County (618) 656-9123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Blickhan's NPI number?

The NPI number for Marisa Blickhan is 1952143968. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Marisa Blickhan located?

Marisa Blickhan practices at 1427 Lewis Rd, Edwardsville, IL 62025. The listed phone number is (618) 207-4871.

What is Marisa Blickhan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Marisa Blickhan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Marisa Blickhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisa Blickhan was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.