Doctor profile · Federal record
Dr. Marisa Blickhan, DMD
Dentist · Edwardsville, IL
- NPI 1952143968
- 2 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1427 Lewis RD
Edwardsville, IL 620254148
(618) 207-4871 - Mailing address
-
1610 Shurtleff CT
Alton, IL 620024067
Credentials & registration
- NPI registered
- June 2024 — 2 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Illinois #019.035173
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952143968. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$680
Transactions
6
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 6 | $679.93 |
By nature of payment
Frequently asked questions
What is Dr. Marisa Blickhan's medical specialty?
Dr. Marisa Blickhan practices Dentist in Edwardsville, IL.
Where does Dr. Marisa Blickhan practice?
Dr. Marisa Blickhan practices at 1427 Lewis RD, Edwardsville, IL 620254148. Office phone: 6182074871.
What is Dr. Marisa Blickhan's NPI?
Dr. Marisa Blickhan's National Provider Identifier (NPI) is 1952143968, issued by NPPES.