DR. John Brian Crisham, D.M.D.

NPI #1609084706 in Oregon, Illinois

Provider Information

NPI Number
1609084706
Entity Type
Individual
Name
DR. John Brian Crisham, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
May 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1307 W WASHINGTON ST
Address 2
SUITE 130
City
Oregon
ZIP Code
61061-1022
Phone
(815) 732-6911

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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