Keith W Dickey, D.D.S. Valid NPI
Individual provider · Dentist · East Alton, IL
- NPI
- 1538189584
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 0190175448 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-20
- Last updated
- 2007-07-08
Practice location
160 S Bellwood Dr, Suite B
East Alton, IL 62024-2086
(618) 258-1300