COTTAGE DENTAL CARE LLC NPI 1518380070

NPI Information

COTTAGE DENTAL CARE LLC is a general practice dentist in Bloomington, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COTTAGE DENTAL CARE LLC NPI is 1518380070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2206 COTTAGE AVE
BLOOMINGTON, IL
ZIP 61701-447
Phone: (309) 828-1463

The provider's authorized official is Dennis R Krug .
The authorized official title is Member and has the following contact phone number (309) 828-1463.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 2/3/2014.

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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