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

MR. JEROME MITHCELL, DDS

Active

MR. JEROME MITHCELL, DDS is a General Dentistry healthcare provider located in BLOOMINGTON, Illinois. NPI 1467609875 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BLOOMINGTON, IL

Registration Details

NPI Number
1467609875
Provider Type
Individual
Gender
Male
NPI Issued
Aug 27, 2008 (17.970707237804 yrs)
Last Updated
Aug 27, 2008
License
019017536 (IL)

Practice Information

Address
200 W FRONT ST
BLOOMINGTON, IL, 617015048
Browse IL providers · Browse ZIP 61701
Phone
3098885533
Fax
3098885896
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in BLOOMINGTON, IL

Name Credential NPI
DR. REX DALE MOORE DDS 1669468344
DR. KEVIN KELSO SCHULTZ DDS 1427099167
ERIC ABREU D.D.S 1750304655
DR. NEZAR AHMED KASSEM D.D.S. 1700975653
DAVID SCOTT HUME D.D.S. 1598835530
DR. MARK BURGESS DMD 1154492593
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.