Affordable Dentistry Today, PC
NPI #1205058666 in Bloomington, Illinois
Provider Information
- NPI Number
- 1205058666
- Entity Type
- Organization
- Organization Name
- Affordable Dentistry Today, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AFFORDABLE DENTISTRY TODAY, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- Nov 2, 2020
Practice Location
- Address
- 1507 NORTH VETERANS PARKWAY
- Address 2
- SUITE 2
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704
- Phone
- (309) 664-5033
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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