Individual provider · Type 1 NPI

Diana Lopez

Prosthodontics · Bloomington, IL

NPI number 1821739749 Active

Practice location

2111 E Oakland Ave Ste D
Bloomington, IL 61701-5783

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019036011 (IL)
Prosthodontics Primary 1223P0700X021003464 (IL)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1821739749

Diana Lopez's National Provider Identifier is 1821739749, issued on Apr 5, 2022. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Bloomington, IL. The record was last updated on Aug 14, 2025.