Organization
CU DENTISTS, LTD.
Active
Other names
CU Dentist LTD
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENJAMIN SCOTT (OWNER/PRESIDENT)
(217) 352-5088
Entity
Organization
Contact information
Practice address
805 WEST SPRINGFIELD AVE, CHAMPAIGN, IL 61820
(217) 352-5088
(217) 352-7751
Mailing address
805 WEST SPRINGFIELD AVE, CHAMPAIGN, IL 61820
(217) 352-5088
(217) 352-7751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/03/2021
Last updated
02/01/2024
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