Twin City Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TWIN CITY DENTAL

Practice address

2102 E Washington St
Bloomington, IL 61701-4321

Phone

(309) 808-2743

NPI assigned

Dec 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott William Todd, DMD

Title

Owner/Dentist

Phone

(309) 824-7926

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1477266245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 RICHARD RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044640",
            "telephone_number": "309-824-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014321",
            "telephone_number": "309-808-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "309-824-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nenita C Tudtud, M.D.
• Srinivasan Tupal
• Caroline J Turner, APN
• Tashana L Turner, MA, LPC
• Twin Cities Medical Equipment LLC
• Tyler Counseling Services, PLLC
• Cory Tyler
• Mercy Atimanu Ugor
• Samantha Uhe
• Nicole Uhlmann, LCSW

• Dental Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.