DR. ANTHONY PECORA PECORA D.D.S.M.S. NPI 1366539744

NPI Information

DR. Anthony Pecora Pecora, D.D.S.,M.S. is a periodontics dentist in Bloomington, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Anthony Pecora Pecora, D.D.S.,M.S. NPI is 1366539744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2103 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701-310
Phone: (309) 664-1122

The NPI 1366539744 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/8/2007.

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:

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