Andrew Haddock, DDS
Dentist, General Practice in Morton, IL. Individual provider (NPI-1).
NPI number1073005708
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1073005708
- Entity type
- Individual (NPI-1)
- Name
- Andrew Haddock
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2018
- Certification date
- Feb 20, 2023
- Last updated
- Feb 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019034015 | IL | Yes |
| 122300000X | Dentist | 1001807-15 | WI |
Practice location
636 W Jefferson StMorton, IL 61550
Phone 309-263-8317
Mailing address
636 W Jefferson StMorton, IL 61550
Phone 309-263-8317 · Fax 920-787-4737
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All 21 General Practice Dentistry providers in Morton · All 326 providers in Morton
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