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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKEWOOD FAMILY DENTAL

Active Organization

LAKEWOOD FAMILY DENTAL is a General Dentistry organization located in BLOOMINGTON, Illinois. NPI 1154675304 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BLOOMINGTON, IL

Registration Details

NPI Number
1154675304
Provider Type
Organization
NPI Issued
Nov 8, 2012 (13.78135667451 yrs)
Last Updated
Nov 8, 2012
License
019-028401 (IL)

Practice Information

Address
1407 N VETERANS PKWY
SUITE 12
BLOOMINGTON, IL, 617046630
Browse IL providers · Browse ZIP 61704
Phone
7323790953
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.