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Contact Information

AFFORDABLE DENTISTRY TODAY, PC
1507 NORTH VETERANS PARKWAY
SUITE 2
BLOOMINGTON, IL61704
 Phone: 309-664-5033
 Fax: 309-663-0967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTISTRY TODAY, PC

NPI # 1205058666
LBN Legal business name AFFORDABLE DENTISTRY TODAY, PC
Authorized official TABATHA LEMKE - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/03/2007
Last updated 11/02/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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