Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUIS PEDRO MIRON CARCAMO
ActiveDR. LUIS PEDRO MIRON CARCAMO is a Dentist healthcare provider located in CHAMPAIGN, Illinois. NPI 1962790006 is currently active in the NPPES registry. Verify at CMS.
Dentist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1962790006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2011 (15.084012095335 yrs)
- Last Updated
- Oct 16, 2024
- Licenses
-
DE60448654 (WA)019030115 (IL)
Practice Information
- Address
-
1701 S PROSPECT AVE STE 201CHAMPAIGN, IL, 618207054Browse IL providers · Browse ZIP 61820
- Phone
- 2173057980
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES HENRY VOHS | D.D.S. | 1316050065 |
| DR. ROBERT A KUNAS | DDS MSD | 1902911175 |
| DR. KATHY LYNN EATON | DDS | 1821100371 |
| DR. GREGORY D. SCHARDT | D.D.S. | 1831282425 |
| DR. WILLIAM RAY THOMPSON | DDS | 1104916444 |
| DR. NUSRAT A HAWA | D.M.D. | 1659430031 |
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.