Dr. Brian C Back, DMD
Dr. Brian C Back, DMD is a General Practice Dentistry in Mascoutah, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
104 E Main StMascoutah, IL 62258-2135
Phone: (618) 566-7384
Fax: (618) 566-4290
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019027792 (IL) |
|---|
Record details
| NPI number | 1053565218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2008 |
| Last updated in NPPES | June 1, 2011 |
| Mailing address | 104 E Main St, P.O. Box 142, Mascoutah, IL 62258-2135 |