Provider Demographics
NPI:1053487074
Name:TOUCHETTE, JOHN F (DMD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:TOUCHETTE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 E VAN BUREN
Mailing Address - Street 2:
Mailing Address - City:MILLSTADT
Mailing Address - State:IL
Mailing Address - Zip Code:62260
Mailing Address - Country:US
Mailing Address - Phone:618-476-7828
Mailing Address - Fax:
Practice Address - Street 1:9 E VAN BUREN
Practice Address - Street 2:
Practice Address - City:MILLSTADT
Practice Address - State:IL
Practice Address - Zip Code:62260
Practice Address - Country:US
Practice Address - Phone:618-476-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist