Doctor profile · Federal record

Dr. Marisa Blickhan, DMD

Dentist · Edwardsville, IL

  • NPI 1952143968
  • 2 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1427 Lewis RD
Edwardsville, IL 620254148
(618) 207-4871
Mailing address
1610 Shurtleff CT
Alton, IL 620024067

Credentials & registration

NPPES · NUCC
NPI registered
June 2024 — 2 yrs on file
Specialty taxonomy
122300000X — NUCC code
State license (1)
Illinois #019.035173

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1952143968. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$680
Transactions
6
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ultradent Products Inc 6 $679.93

By nature of payment

Gift
$680

Frequently asked questions

Auto-generated from federal data
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.