DR. Brandon Robert Maddox, D.M.D.

NPI #1134268071 in Springfield, Illinois

Provider Information

NPI Number
1134268071
Entity Type
Individual
Name
DR. Brandon Robert Maddox, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Feb 6, 2007
Last Updated
Sep 16, 2023

Practice Location

Address
1100 RICKARD RD
Address 2
SUITE B
ZIP Code
62704-6301
Phone
(217) 546-4738

Specialties & Taxonomy Codes

Specialty
Dentist

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