MEDICARE: DR. TRISHA ANNE FLUCKIGER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019031385	IL

General Provider Information

NPI Number	:	1700304631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRISHA ANNE FLUCKIGER DMD

Provider Business Mailing Address
First Line	:	1526 S BATES AVE
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-3348
Country	:	US
Telephone Number	:	217-314-9317
Fax Number	:

Provider Business Practice Location Address
First Line	:	4526 OLD SALEM LN
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62711-6006
Country	:	US
Telephone Number	:	217-546-8600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	10/23/2018

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1952829889 — MAURER FAMILY DENTAL LLC
Practice Location Address:

4526 OLD SALEM LN
SPRINGFIELD, IL
62711-6006

Practice Phone: 217-546-8600
Practice Fax:

1356294284 — CENTRAL ILLINOIS AUDIOLOGY LTD
Practice Location Address:

4000 WESTGATE DR
SPRINGFIELD, IL
62711-7434

Practice Phone: 217-726-6101
Practice Fax:

1730243015 — XUEGUANG CHEN MD
Practice Location Address:

3401 CONIFER DR
SPRINGFIELD, IL
62711-8300

Practice Phone: 217-545-8000
Practice Fax: 217-545-8122

1598788994 — CENTRAL ILLINOIS KIDNEY & DIALYSIS ASSOCIATES, SC
Practice Location Address:

3401 CONIFER DR
SPRINGFIELD, IL
62711-8300

Practice Phone: 217-545-8993
Practice Fax: 217-545-8122

1861431165 — VIKRAMPAL S BHATTI MD
Practice Location Address:

3401 CONIFER DR
SPRINGFIELD, IL
62711-8300

Practice Phone: 217-545-8000
Practice Fax: 217-545-8122

Directions to “ DR. TRISHA ANNE FLUCKIGER DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.