| Affordable Dentistry Today - Bloomington | |
|
507 North Hershey Drive Suite D Bloomington IL 61704 | |
| (309) 661-0197 | |
| (309) 661-0486 |
| Full Name | Affordable Dentistry Today - Bloomington |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 507 North Hershey Drive, Bloomington, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Dentistry Today - Bloomington 507 North Hershey Drive Suite D Bloomington IL 61704 Ph: (309) 661-0197 | Affordable Dentistry Today - Bloomington 507 North Hershey Drive Suite D Bloomington IL 61704 Ph: (309) 661-0197 |
| NPI Number | 1598987067 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598987067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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