Hershey Plaza Dental Care | |
507 N Hershey Rd Ste A Bloomington IL 61704-3744 | |
(309) 664-2288 | |
(309) 664-5068 |
Full Name | Hershey Plaza Dental Care |
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Speciality | Dentist - General Practice |
Location | 507 N Hershey Rd Ste A, Bloomington, Illinois |
Authorized Official Name and Position | Lindsay Bearden (INS COOD) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hershey Plaza Dental Care 507 N Hershey Rd Ste A Bloomington IL 61704-3744 Ph: (309) 664-2288 | Hershey Plaza Dental Care 507 N Hershey Rd Ste A Bloomington IL 61704-3744 Ph: (309) 664-2288 |
NPI Number | 1285847541 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 02/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285847541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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