Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAPLE SHADE DENTAL BLOOMINGTON LLC
Active OrganizationMAPLE SHADE DENTAL BLOOMINGTON LLC is a Dentist organization located in BLOOMINGTON, Illinois. NPI 1366795437 is currently active in the NPPES registry. Verify at CMS.
Dentist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1366795437
- Provider Type
- Organization
- NPI Issued
- Oct 26, 2012 (13.816621077714 yrs)
- Last Updated
- Apr 23, 2015
Practice Information
- Address
-
107 S PROSPECT RDBLOOMINGTON, IL, 617044403Browse IL providers · Browse ZIP 61704
- Phone
- 3096630433
- Fax
- 3096621372
- Primary Specialty
-
Dentist
122300000X
Other Dentist Organizations in BLOOMINGTON, IL
| Name | NPI |
|---|---|
| FRANK W. FOEHR DDS, LTD | 1386810869 |
| IIDSM BLOOMINGTON LLC | 1366710410 |
| SLEEP SOLUTIONS OF CENTRAL ILLINOIS LLC | 1013280445 |
| HOUSKA DENTAL CENTER, LLC | 1235486762 |
| EMIL M. VERBAN | 1750633566 |
| SYLVESTER FAMILY DENTAL, LLC | 1699105155 |
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.