Access Dental of Normal PLLC
Organization Active NPI General Practice Dentistry · Normal, IL
NPI 1205595915 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1205595915
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ACCESS DENTAL OF NORMAL PLLC
- Practice address
- 305 S Linden St Ste 101
Normal, IL 61761-4906 - Phone
- (309) 296-0227
- NPI assigned
- Dec 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Andrea Carrillo
- Title
- Regional Director
- Phone
- (512) 351-2612
National Provider Directory
Locations
305 S Linden St
Ste 101
Normal, IL 61761
Phone (309) 296-0227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
305 S Linden St Ste 101
Normal, IL 61761-4906
Mailing address
305 S Linden St Ste 101
Normal, IL 61761-4906
Other providers in Normal, IL
- Abc Counseling & Family Services Inc
- Ashraf Abdeljaber
- Kelly J Abrams
- Mutasem Ahmad Khaled Abuhalaweh
- Accelerated Rehabilitation Centers, LTD
- Janell Adams
- Katie L Adams
- Kimberly Lynn Adelman
- Advanced Counseling Evaluation Treatment and Dui Services
- Advocate Health and Hospitals Corp.
All providers in Normal, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.