Maddox, Brandon Robert

Maddox, Brandon Robert is an individual health care provider with primary practice located at 1100 Rickard Rd Suite B, Springfield IL 62704-6301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Maddox, Brandon Robert can be contacted via phone (217) 546-4738.

Contact Information

Primary practice address
1100 Rickard Rd Suite B Springfield IL 62704-6301
Phone: (217) 546-4738
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019025561 Illinois

Profile Details

NPI number 1134268071
LBN Legal business name Maddox, Brandon Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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