Individual provider · Type 1 NPI

Marisa C. Blickhan, DMD

Dentist · Edwardsville, IL

NPI number 1952143968 Active

Practice location

1427 Lewis Rd
Edwardsville, IL 62025-4148

Mailing address

1610 Shurtleff Ct
Alton, IL 62002-4067

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.035173 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1952143968

Marisa C. Blickhan, DMD's National Provider Identifier is 1952143968, issued on Jun 10, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Edwardsville, IL. The record was last updated on Jun 10, 2024.