| Affinity Family Dental Champaign | |
|
2918 Crossing Ct Ste A Champaign IL 61822-6100 | |
| (217) 298-7999 | |
| (217) 888-3899 |
| Full Name | Affinity Family Dental Champaign |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2918 Crossing Ct Ste A, Champaign, Illinois |
| Authorized Official Name and Position | Srinivas Durshanapalli (PRESIDENT) |
| Authorized Official Contact | 2172987999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Family Dental Champaign 2918 Crossing Ct Ste A Champaign IL 61822-6100 Ph: (217) 298-7999 | Affinity Family Dental Champaign 2918 Crossing Ct Ste A Champaign IL 61822-6100 Ph: (217) 298-7999 |
| NPI Number | 1770359515 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770359515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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