Individual provider · Type 1 NPI

Blake Kunimoto, DDS

Dentist · Springfield, IL

NPI number 1205056207 Active

Practice location

3124 Montvale Dr
Springfield, IL 62704-6937

Mailing address

3807 Wexford Dr
Springfield, IL 62704-6715

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019025927 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1205056207

Blake Kunimoto, DDS's National Provider Identifier is 1205056207, issued on May 1, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Springfield, IL. The record was last updated on Jul 8, 2007.