Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518914340 Individual Practitioner Male Practitioner

Dr. Bruce Wm. Thackrey , DMD

Dentist - General Practice • Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Thackrey, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mount Vernon, IL. Practice services are available at 1704 JEFFERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1704 Jefferson Ave

Mount Vernon, IL 628644331

Telephone 6182442440
Fax 6182440607

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Mount Vernon, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 19A15719

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Michael Hiner , DDS

Dentist - General Practice

NPI 1265454508

Doctor of Dental Surgery

NPI 1912929191

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1704 JEFFERSON AVE, MOUNT VERNON, IL 628644331 (Tel: 6182442440)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1704 JEFFERSON AVE, MOUNT VERNON, IL 628644331 (Tel: 6182442440)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE THACKREY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19A15719 in IL)

🟢
Initial NPI Registration & Enumeration May 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518914340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1704 Jefferson Ave

Mount Vernon, IL 628644331

Phone: 6182442440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.