John Marshall Casper, DMD Valid NPI

Individual provider · General Practice Dentistry · Anna, IL

NPI

1003023383

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

01915800 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-17

Last updated

2007-07-08