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

OPTIM DENTAL BLOOMINGTON LLC

Active Organization

OPTIM DENTAL BLOOMINGTON LLC is a Dentist organization located in BLOOMINGTON, Illinois. NPI 1902251911 is currently active in the NPPES registry. Verify at CMS.

Dentist · BLOOMINGTON, IL

Registration Details

NPI Number
1902251911
Provider Type
Organization
NPI Issued
Apr 27, 2016 (10.316024854312 yrs)
Last Updated
Apr 27, 2016
Licenses
019.030202 (IL)
019.0228802 (IL)

Practice Information

Address
401 N VETERANS PKWY STE 4
BLOOMINGTON, IL, 617047716
Browse IL providers · Browse ZIP 61704
Phone
2179713432
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

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.