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

IIDSM BLOOMINGTON LLC

Active Organization

IIDSM BLOOMINGTON LLC is a Dentist organization located in BLOOMINGTON, Illinois. NPI 1366710410 is currently active in the NPPES registry. Verify at CMS.

Dentist · BLOOMINGTON, IL

Registration Details

NPI Number
1366710410
Provider Type
Organization
NPI Issued
Dec 5, 2011 (14.708116512786 yrs)
Last Updated
May 16, 2012

Practice Information

Address
2309 E EMPIRE ST
500
BLOOMINGTON, IL, 617048636
Browse IL providers · Browse ZIP 61704
Phone
3093196568
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in BLOOMINGTON, IL

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.