Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA LOPEZ
ActiveDIANA LOPEZ is a Pediatric Dentistry healthcare provider located in BLOOMINGTON, Illinois. NPI 1821739749 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1821739749
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2022 (4.3714267870964 yrs)
- Last Updated
- Aug 14, 2025
- Licenses
-
019036011 (IL)021003464 (IL)
Practice Information
- Address
-
2111 E OAKLAND AVE STE DBLOOMINGTON, IL, 617015783Browse IL providers · Browse ZIP 61701
- Phone
- 3096636564
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
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.