CHILDREN'S CENTER FOR DENTISTRY


Address: 314 Susan Dr, Normal, IL 61761-6206
Phone: 3098275437

CHILDREN'S CENTER FOR DENTISTRY (NPI# 1932709433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932709433
Entity Type Organization
Organization Name CHILDREN'S CENTER FOR DENTISTRY
Practice Address 314 Susan Dr
Normal
IL 61761-6206
Practice Telephone 3098275437
Practice Fax Number 3092650288
Mailing Telephone 3098275437
Mailing Fax Number 3092650288
Enumeration Date 2020-10-26
Last Update Date 2020-10-26
Authorized Official Name MRS. MACKENZIE STARKEY (OFFICE MANAGER)
Authorized Official Telephone 3098275437
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285184259 Children's Center for Dentistry Dentist 2111 E Oakland Ave Ste C, Bloomington, IL 61701-5783 2016-10-13

Office Location

Street Address 314 SUSAN DR
City NORMAL
State IL
Zip Code 61761-6206

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681796 Brittany Nicole Mekley Nurse Practitioner 201 N. University, Normal, IL 61761 2020-08-28
1679108971 Krystal Halliday Occupational Therapist 1815 N Towanda Barnes Rd, Normal, IL 61761 2020-03-06
1265915474 Laine E Burek Nurse Practitioner 1765 Bradford Ln., Normal, IL 61761 2018-09-13
1801389986 Ashley Michelle James Specialist/Technologist 347 S. University St, Normal, IL 61761 2018-06-12
1447750708 Shelley R. Ruch Specialist/Technologist, Other 1604 Visa Drive, Ste 1, Normal, IL 61761 2018-02-13
1497275069 Mclean County Nursing Home Non-emergency Medical Transport (VAN) 901 N. Main St, Normal, IL 61761 2017-06-23
1235673666 Megan Threm Registered Nurse 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 2016-12-04
1437513553 Tiesha Smith Specialist 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 2016-04-06
1285031658 New Day Recovery Community/Behavioral Health 402 Summit, Normal, IL 61761 2014-12-01
1174927701 Alyssa Marie Bruck Occupational Therapist 700 N Walnut St, Normal, IL 61761 2014-10-10
Find all providers in zip 61761

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073125746 Jessica Mattern Dds, Pllc Dentist 326 W Burlington Ave, La Grange, IL 60525-2363 2020-08-23
1568925014 Southern Illinois Pediatric Dentistry of Edwardsville Dentist 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 2019-04-11
1710450754 Drs Selberg & Rice Pllc Dentist 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 2019-01-02
1821583634 Dentalgenix Dentist 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 2018-06-25
1528562253 Rachel Vorwaller Dentist 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 2018-03-19
1942740006 Dhwani M. Joshi Dentist 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 2017-03-08
1316393390 Erin Marie Petrik Dentist 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 2016-05-10
1669839593 Algonquin Kids Dentistry, Inc Dentist 4097 W Algonquin Rd, Algonquin, IL 60102-9401 2016-01-22
1720468598 Mehedia Haque Dentist 2062 N Milwaukee Ave, Chicago, IL 60647 2015-06-05
1851788913 Jaime Ann Chowaniec Dentist 45 S Park Blvd Ste 105, Glen Ellyn, IL 60137-6299 2015-04-16
Find all providers with the same taxonomy

Competitor

Search similar providers

City NORMAL
Zip Code 61761

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Dataset Information

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.

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