Brandon R Maddox Dmd Springfield Ltd
NPI #1770989550 in Springfield, Illinois
Provider Information
- NPI Number
- 1770989550
- Entity Type
- Organization
- Organization Name
- Brandon R Maddox Dmd Springfield Ltd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 6, 2014
- Last Updated
- Sep 16, 2023
Practice Location
- Address
- 1100 RICKARD RD
- Address 2
- STE B
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6301
- Phone
- (217) 546-4738
Authorized Official
- Name
- DR. BRANDON R MADDOX, DMD
- Title
- DENTIST
- Phone
- (217) 546-4738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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