DR. BRANDON J HISSONG (NPI# 1952325417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952325417 |
| Entity Type | Individual |
| Full Name | DR. BRANDON J HISSONG |
| Credential | DMD |
| Practice Address |
806 W Bridge St Monticello IL 61856-1038 |
| Practice Telephone | 2177627175 |
| Practice Fax Number | 2177627845 |
| Mailing Telephone | 2177627175 |
| Mailing Fax Number | 2177627845 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
806 W BRIDGE ST |
| City | MONTICELLO |
| State | IL |
| Zip Code | 61856-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
| 1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
| 1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
| 1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
| 1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
| 1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
| Find all providers in zip 61856 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346648094 | Kayenta Dental | Dentist | 225 S. Main, Monticello, UT 84535 | 2014-12-11 |
| 1356693469 | Roscoe Milton Brady | Dentist | 214 W Washington St, Monticello, IL 61856-1653 | 2012-10-12 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1184844888 | John Arthur Erickson | Dentist | 210 West Broadway, Monticello, MN 55362-0969 | 2007-04-26 |
| 1558496539 | Maureen Weyer Whipple | Dentist | 1 Fairchild Pl, Monticello, NY 12701-2005 | 2007-02-22 |
| 1326192832 | Alisa Morgan Hopper | Dentist | 433 South Main Street, Monticello, AR 71655 | 2007-01-22 |
| 1518014034 | Kevin J Stingley | Dentist | 139 S Main, Suite A, Monticello, IA 52310-0167 | 2007-01-05 |
| 1841357159 | David H Denson | Dentist | 121 E Shelton, Monticello, AR 71655 | 2007-01-03 |
| 1376605709 | Gerald O Miller | Dentist | 217 S 100 W, Monticello, UT 84535 | 2006-12-14 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 61856 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.