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

DR. SHIVANI CHETAN DESAI, DMD

Active Sole Proprietor

DR. SHIVANI CHETAN DESAI, DMD is a Dentist healthcare provider located in BLOOMINGTON, Illinois. NPI 1184032666 is currently active in the NPPES registry. Verify at CMS.

Dentist · BLOOMINGTON, IL

Registration Details

NPI Number
1184032666
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2014 (12.063293055754 yrs)
Last Updated
Jul 28, 2014
License
019029949 (IL)
Sole Proprietor
Yes

Practice Information

Address
1904 WAKEFIELD LN
BLOOMINGTON, IL, 617049196
Browse IL providers · Browse ZIP 61704
Phone
3092874952
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BLOOMINGTON, IL

Name Credential NPI
MR. EMIL M VERBAN JR. DDS 1245334978
DR. ROBERT DAVID HORENKAMP DDS 1639275308
DR. JOHN EDWARD ZIMDARS D.D.S. 1902999295
DR. ROBERT OWEN WOLF DDS 1962576967
DR. TERRY LYNN SWANLUND DDS 1477614360
LAKSHMI RAMESH DDS 1346303328
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.