HARVEY BRECKNER (NPI# 1962663245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962663245 |
| Entity Type | Individual |
| Full Name | HARVEY BRECKNER |
| Credential | D.M.D., M.S. |
| Practice Address |
600 Country Club Vw Suite 4 Edwardsville IL 62025-3696 |
| Practice Telephone | 6183073267 |
| Mailing Telephone | 6183073267 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
19020061 | IL | Dental Providers |
| Street Address |
600 COUNTRY CLUB VW SUITE 4 |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025-3696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039947 | Yale Cho | Dentist | 17w110 22nd St Ste 150, Oakbrook Terrace, IL 60181-4454 | 2020-09-25 |
| 1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
| 1841848355 | Prime Dental Specialists | Dentist | 2638 Patriot Blvd, Glenview, IL 60026-8024 | 2019-08-28 |
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1396256350 | Christopher William Coffey | Dentist | 14600 S La Grange Rd Ste 5, Orland Park, IL 60462-2580 | 2017-10-18 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1578985495 | Fransiskus Andrianto Tjiptowidjojo | Dentist | 1901 N Roselle Rd Ste 110, Schaumburg, IL 60195-3179 | 2014-01-11 |
| 1386079689 | Bryan Jacobs | Dentist | 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734 | 2013-09-05 |
| 1790932325 | Samson Sol Flores | Dentist | 1415 Oakton St, Evanston, IL 60202-2720 | 2008-08-26 |
| 1396991196 | Lake Forest Dental Associates, PC | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1205 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.