Individual provider · Type 1 NPI
Tanya Lynne Nielsen, DDS
General Practice Dentistry · Champaign, IL
NPI number
1306285838
Active
Practice location
314 W Kirby Ave
Champaign, IL 61820-7208
Mailing address
5018 Chestnut Grove Dr
Champaign, IL 61822-3322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019.030147 (IL) |
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.
3 other providers at this address
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- Michael R. Ruffatto, DMDGeneral Practice Dentistry Champaign, IL NPI 1154651628
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About NPI 1306285838
Tanya Lynne Nielsen, DDS's National Provider Identifier is 1306285838, issued on Jun 18, 2013. 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 17, 2026.