Individual provider · Type 1 NPI
Brian C. Back, DMD
General Practice Dentistry · Mascoutah, IL
NPI number
1053565218
Active
Practice location
104 E Main St
Mascoutah, IL 62258-2135
Fax (618) 566-4290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019027792 (IL) |
General Practice Dentistry: 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.
2 other providers at this address
About NPI 1053565218
Brian C. Back, DMD's National Provider Identifier is 1053565218, issued on Nov 13, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mascoutah, IL. The record was last updated on Jun 1, 2011.