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

Dr. Eric Jeffrey Kubacki, DMD

Individual provider General Practice Dentistry · NPI 1114702743

Dr. Eric Jeffrey Kubacki, DMD is a General Practice Dentistry in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
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

2800 College Ave
Alton, IL 62002-4742
Phone: (618) 474-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019033726 (IL)

Record details

NPI number1114702743
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address1214 Oakleaf Dr, Saint Louis, MO 63119-1038

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