Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN LEE SECRIST, D.D.S.
Active Sole ProprietorDR. BRIAN LEE SECRIST, D.D.S. is a General Dentistry healthcare provider located in DANVILLE, Illinois. NPI 1306844667 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DANVILLE, IL
Registration Details
- NPI Number
- 1306844667
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2005 (21.065870315314 yrs)
- Last Updated
- Oct 24, 2024
- License
-
105294 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 E MAIN STDANVILLE, IL, 618325100Browse IL providers · Browse ZIP 61832
- Phone
- 2175545859
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in DANVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MIKE L FUESTING | D.M.D. | 1699778159 |
| DR. MARY ELLEN GRILLY | DDS | 1982790879 |
| DR. JAMES MATTHEW HARDY | D.D.S. | 1194899906 |
| DR. RANDAL P ASHTON | D.D.S. | 1972668481 |
| DR. GEORGE RAYMOND ZUNDO | DDS | 1972656924 |
| DR. MATTHEW STEVEN DAUGHERTY | DDS | 1568773760 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.