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

MCLEAN COUNTY DENTAL

Active Organization

MCLEAN COUNTY DENTAL is a General Dentistry organization located in BLOOMINGTON, Illinois. NPI 1417216870 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BLOOMINGTON, IL

Registration Details

NPI Number
1417216870
Provider Type
Organization
NPI Issued
May 4, 2012 (14.285559012477 yrs)
Last Updated
May 4, 2012
License
019015656 (IL)

Practice Information

Address
2103 E WASHINGTON ST
SUITE 1C
BLOOMINGTON, IL, 617014310
Browse IL providers · Browse ZIP 61701
Phone
3096628448
Fax
3096627617
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.