Organization · Type 2 NPI
Maple Shade Dental Bloomington LLC
Dentist · Bloomington, IL
Practice location
107 S Prospect Rd
Bloomington, IL 61704-4403
Fax (309) 662-1372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | None listed |
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…
3 other providers at this address
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About NPI 1366795437
Maple Shade Dental Bloomington LLC's National Provider Identifier is 1366795437, issued on Oct 26, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 22, 2026.