Individual provider · Type 1 NPI
John M. Vickery, DDS
Periodontics · Northbrook, IL
NPI number
1972728863
Active
Practice location
1290 Shermer Rd, Suite #3
Northbrook, IL 60062-4567
Fax (847) 480-9143
Mailing address
1439 Coral Pkwy
Northbrook, IL 60062-5192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Northbrook
About NPI 1972728863
John M. Vickery, DDS's National Provider Identifier is 1972728863, issued on Apr 16, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Northbrook, IL. The record was last updated on Jul 8, 2007.