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Organization

DENTAL PROFESSIONALS OF ILLINOIS, P.C.

Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Bloomington Smile Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
LINDSAY BEARDEN (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization

Contact information

Practice address
3609 GENERAL ELECTRIC RD, BLOOMINGTON, IL 61704-8766
(309) 664-0949
Mailing address
3609 GENERAL ELECTRIC RD, BLOOMINGTON, IL 61704-8766
(309) 664-0949

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/04/2009
Last updated
01/07/2014
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