SIKORA & JACOBSEN LLC NPI 1629403167

NPI Information

SIKORA & JACOBSEN 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. SIKORA & JACOBSEN LLC NPI is 1629403167. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prairie Dental Associates.

The provider's business location address is:

3220 GERIG DR
BLOOMINGTON, IL
ZIP 61704-394
Phone: (309) 662-7722

The provider's authorized official is Daniel Jacobsen .
The authorized official title is Partner and has the following contact phone number (309) 662-7722.

The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/3/2013.

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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