MORGAN-MICHAELS FAMILY DENTISTRY, LLC (NPI# 1013402981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013402981 |
| Entity Type | Organization |
| Organization Name | MORGAN-MICHAELS FAMILY DENTISTRY, LLC |
| Practice Address |
2306 Stern Dr Bloomington IL 61704 |
| Mailing Address |
2306 Stern Dr Bloomington IL 61704-4406 |
| Practice Telephone | 3096634114 |
| Practice Fax Number | 3096631275 |
| Mailing Telephone | 3096634114 |
| Mailing Fax Number | 3096631275 |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | DR. COURTNEY MORGAN (PRESIDENT) |
| Authorized Official Telephone | 3096634114 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2306 STERN DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619353521 | Courtney Morgan | Dentist | 2306 Stern Dr, Bloomington, IL 61704-4406 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073904470 | Nick Weiss Dds LLC | Clinic/Center | 2801 E Carowinds Ct, Bloomington, IN 47401-9716 | 2015-02-07 |
| 1114050432 | Mitchell Olson, Dds Pa | Clinic/Center | 8400 Lyndale Ave S Ste 8, Bloomington, MN 55420-2790 | 2007-03-14 |
| 1063011666 | David A. Engan, Dds | Clinic/Center | 9848 Lyndale Ave S, Bloomington, MN 55420-4731 | 2020-10-23 |
| 1154971380 | Gentle Dentistry of Bloomington Pllc | Clinic/Center | 10611 France Ave S Ste 201, Bloomington, MN 55431-3554 | 2019-09-19 |
| 1962059907 | Finney Dental LLC | Clinic/Center | 2909 E Buick Cadillac Blvd, Bloomington, IN 47401-5443 | 2019-08-23 |
| 1497218184 | Action Dental | Clinic/Center | 10584 France Ave S, Bloomington, MN 55431-3538 | 2019-04-09 |
| 1780187674 | Martin T Barco, D.d.s., P.C. | Clinic/Center | 615 N Walnut St, Bloomington, IN 47404-3811 | 2018-03-16 |
| 1396267423 | H&b II LLC | Clinic/Center | 409 S Dunn St, Bloomington, IN 47401-4822 | 2017-07-11 |
| 1124478607 | Minnesota Dental Surgery Pllc | Clinic/Center | 9801 Dupont Ave S, Bloomington, MN 55431-3100 | 2016-06-15 |
| 1770965717 | Gentle Dental | Clinic/Center | 3929 E 3rd St, Bloomington, IN 47401-5554 | 2015-06-26 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MORGAN-MICHAELS FAMILY DENTISTRY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.