Associates in Dentistry
Organization Active NPI Dentist · Bartonville, IL
NPI 1508948159 · NPPES record last updated Apr 30, 2020
Key facts
- NPI
- 1508948159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ASSOCIATES IN DENTISTRY
- Practice address
- 1522 W Garfield Ave
Bartonville, IL 61607-1755 - Phone
- (309) 697-5680
- Fax
- (309) 697-5682
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy Hamilton
- Title
- Business Administrator
- Phone
- (309) 697-5680
Corporate family (same tax ID) 4
Practitioners 3
-
Landall Cormier, DDS
-
Shruti Pore, D.M.D
National Provider Directory
- Tax ID family
- Associates in Dentistry
Locations
1522 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
1522 W Garfield Ave
Bartonville, IL 61607-1755
Mailing address
1518 W Garfield Ave
Bartonville, IL 61607-1755
Phone (309) 697-5680
Other providers in Bartonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2020. 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.