SearchIllinois122300000X

Gregory Biddulph, DMD

NPI 1932237856 · on the registry since 2007

Practice

Address
1490 N Green Mount Rd
Suite B
O Fallon, IL 62269
Phone
(618) 632-1603
Fax
(618) 632-6034
Clinicians at this address
5

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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