Organization · Type 2 NPI

Affordable Dentistry Today, PC

General Practice Dentistry · Bloomington, IL

NPI number 1205058666 Active

Practice location

1507 North Veterans Parkway, Suite 2
Bloomington, IL 61704

Fax (309) 663-0967

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Lifetime Dental Care of Illinois, PCGeneral Practice Dentistry Bloomington, IL NPI 1265654412

Other general practice dentistry providers in Bloomington

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NPI record

NPI: 1205058666
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: Nov 2, 2020
Status: Active
Subpart: Yes of Affordable Dentistry Today, PC

Other names

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Affordable Dentistry Today - Bloomington · doing business as
Affordable Dentistry Today - Veterans Parkway · doing business as

Authorized official

Tabatha Lemke
Credentialing Coordinator
(217) 540-6078

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205058666

Affordable Dentistry Today, PC's National Provider Identifier is 1205058666, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bloomington, IL. The record was last updated on Nov 2, 2020.