Dental Professionals of Illinois, P.c.
NPI #1447484571 in Bloomington, Illinois
Provider Information
- NPI Number
- 1447484571
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Illinois, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF ILLINOIS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 4, 2009
- Last Updated
- Jan 7, 2014
Practice Location
- Address
- 3609 GENERAL ELECTRIC RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-8766
- Phone
- (309) 664-0949
Authorized Official
- Name
- LINDSAY BEARDEN
- Title
- INSURANCE/CREDENTIALING
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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