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

PEDIATRIC DENTAL ASSOCIATES OF MCLEAN COUNTY, INC

Active Organization

Dental Clinic · BLOOMINGTON, IL

Registration Details

NPI Number
1982878708
Provider Type
Organization
NPI Issued
Apr 14, 2008 (18.03905832705 yrs)
Last Updated
Apr 14, 2008

Practice Information

Address
211 S PROSPECT RD
BLOOMINGTON, IL, 617044910
Browse IL providers · Browse ZIP 61704
Phone
3096637339
Fax
3096637131
Primary Specialty
Dental Clinic
261QD0000X
Additional Specialty
Dental Clinic
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.