Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce Wm Thackrey, DMD

Individual provider General Practice Dentistry · NPI 1518914340

Bruce Wm Thackrey, DMD is a General Practice Dentistry in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1704 Jefferson Ave
Mount Vernon, IL 62864-4331
Phone: (618) 244-2440
Fax: (618) 244-0607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19A15719 (IL)

Record details

NPI number1518914340
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1704 Jefferson Ave, Mount Vernon, IL 62864-4331

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