Individual provider · Type 1 NPI

Srinivasulu Kakollu, D.D.S

Dentist · Bloomington, IL

NPI number 1265744189 Active

Practice location

1407 N Veterans Pkwy Ste 12
Bloomington, IL 61704-6425

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019028401 (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 1265744189

Srinivasulu Kakollu, D.D.S's National Provider Identifier is 1265744189, issued on Jul 8, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 11, 2013.