Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SRINIVASULU KAKOLLU, D.D.S
ActiveDR. SRINIVASULU KAKOLLU, D.D.S is a Dentist healthcare provider located in BLOOMINGTON, Illinois. NPI 1265744189 is currently active in the NPPES registry. Verify at CMS.
Dentist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1265744189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2010 (16.118393918713 yrs)
- Last Updated
- Mar 11, 2013
- License
-
019028401 (IL)
Practice Information
- Address
-
1407 N VETERANS PKWY STE 12BLOOMINGTON, IL, 617046425Browse IL providers · Browse ZIP 61704
- Phone
- 7323790953
- 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.