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ENDODONTIC SPECIALISTS LLC NPI 1194895219


NPI Information

NPI: 1194895219
Provider Name: ENDODONTIC SPECIALISTS LLC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
3601 GENERAL ELECTRIC ROAD
SUITE 6
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 663-9521
Get Directions

ENDODONTIC SPECIALISTS LLC is an endodontics dentist in Bloomington, IL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ENDODONTIC SPECIALISTS LLC NPI is 1194895219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3601 GENERAL ELECTRIC ROAD
SUITE 6
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 663-9521
Fax: (309) 663-0346

The provider's authorized official is Steven Mark Sieraski .
The authorized official title is Member Llc and has the following contact phone number (309) 663-9521.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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