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Bruce Wm. Thackrey, DMD
General Practice Dentistry in Mount Vernon, Illinois
NPI 1518914340

Bruce Wm. Thackrey is a General Practice Dentistry based in Mount Vernon, IL and is specialized in General Practice. Bruce Wm. Thackrey practices in Mount Vernon, IL and has the professional credentials of DMD. The NPI Number for Bruce Wm. Thackrey is 1518914340 and holds a License No. 19A15719 (Illinois).

The current practice location address for Bruce Wm. Thackrey is 1704 Jefferson Ave, Mount Vernon, IL and can be reached out via phone at 618-244-2440 and via fax at 618-244-0607.

Location: 1704 Jefferson Ave, Mount Vernon, IL, 62864-4331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518914340
Provider Name
Bruce Wm. Thackrey
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1704 Jefferson Ave, Mount Vernon, IL, 62864-4331
Phone Number
618-244-2440
Fax Number
618-244-0607
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1704 Jefferson Ave
City
Mount Vernon
State
Illinois
Zip
62864-4331
Phone Number
618-244-2440
Fax Number
618-244-0607
person
Provider Business Mailing Address Details
Address
1704 Jefferson Ave
City
Mount Vernon
State
Illinois
Zip
62864-4331
Phone Number
618-244-2440
Fax Number
618-244-0607
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19A15719 (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.
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