Search › Illinois › 1223G0001X
Bruce Thackrey, DMD
NPI 1518914340 · on the registry since 2006
Practice
- Address
- 1704 Jefferson Ave
Mount Vernon, IL 62864 - Phone
- (618) 244-2440
- Fax
- (618) 244-0607
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois