location
search-icon
person
Dr. Brian C Back, DMD
General Practice Dentistry in Mascoutah, Illinois
NPI 1053565218

Brian C Back is a General Practice Dentistry based in Mascoutah, IL and is specialized in General Practice. Brian C Back practices in Mascoutah, IL and has the professional credentials of DMD. The NPI Number for Brian C Back is 1053565218 and holds a License No. 019027792 (Illinois).

The current practice location address for Brian C Back is 104 E Main St, Mascoutah, IL and can be reached out via phone at 618-566-7384 and via fax at 618-566-4290.

Location: 104 E Main St, Mascoutah, IL, 62258-2135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053565218
Provider Name
Brian C Back
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
104 E Main St, Mascoutah, IL, 62258-2135
Phone Number
618-566-7384
Fax Number
618-566-4290
Provider Enumeration Date
11/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 E Main St
City
Mascoutah
State
Illinois
Zip
62258-2135
Phone Number
618-566-7384
Fax Number
618-566-4290
person
Provider Business Mailing Address Details
Address
104 E Main St
City
Mascoutah
State
Illinois
Zip
62258-2135
Phone Number
618-566-7384
Fax Number
618-566-4290
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019027792 (Illinois)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.