Individual provider · Type 1 NPI

Jerome Mithcell, DDS

General Practice Dentistry · Bloomington, IL

NPI number 1467609875 Active

Practice location

200 W Front St
Bloomington, IL 61701-5048

Fax (309) 888-5896

Mailing address

PO Box 6321
Bloomington, IL 61702-6321

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019017536 (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.

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About NPI 1467609875

Jerome Mithcell, DDS's National Provider Identifier is 1467609875, issued on Aug 27, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bloomington, IL. The record was last updated on Aug 27, 2008.