National Provider Identifier Database

ANDREW HADDOCK, DDS – NPI #1073005708
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

ANDREW HADDOCK, DDS
636 W JEFFERSON ST
MORTON, IL61550
Phone: 309-263-8317
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for ANDREW HADDOCK

NPI Number 1073005708
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/30/2018
Last updated 02/20/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 019034015
  • WI License #: 1001807-15
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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