IndividualActive
John Crisham, D.M.D.
NPI 1609084706 · General Practice Dentistry · Oregon, IL
Provider details
- NPI number
- 1609084706
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
1307 W Washington St
Suite 130
Oregon, IL 61061-1022
Phone: (815) 732-6911
Approximate (ZIP-level) locationGet directions
Mailing address
2934 S Lowden Rd
Oregon, IL 61061-9101
Registry dates
- Enumerated
- 2007-05-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.