Individual provider · Type 1 NPI

Eric Jeffrey Kubacki, DMD

General Practice Dentistry · Alton, IL

NPI number 1114702743 Active

Practice location

2800 College Ave
Alton, IL 62002-4742

Mailing address

1214 Oakleaf Dr
St. Louis, MO 63119-1038

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019033726 (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.

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About NPI 1114702743

Eric Jeffrey Kubacki, DMD's National Provider Identifier is 1114702743, issued on Aug 30, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Alton, IL. The record was last updated on Sep 24, 2024.