Organization · Type 2 NPI

Mountain Bay Dental LLC

General Practice Dentistry · Champaign, IL

NPI number 1295268019 Active

Practice location

3510 Marianna Dr
Champaign, IL 61822-9502

Call (715) 496-1128 Map

Mailing address

5702 Memorial Ct
Weston, WI 54476-6502

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1001483 (WI)

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.

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About NPI 1295268019

Mountain Bay Dental LLC's National Provider Identifier is 1295268019, issued on Apr 8, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Champaign, IL. The record was last updated on Apr 8, 2017.