IndividualActive
Amanda Musson, DENTAL HYGIENE
NPI 1013778182 · Dental Hygienist · Bloomington, IL
Provider details
- NPI number
- 1013778182
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- DENTAL HYGIENE
- Sex
- Female
- Sole proprietor
- No
- License
- 020.011459 (IL)
Specialties & taxonomies
Dental Providers
Practice location
720 W Chestnut St
Bloomington, IL 61701-2814
Phone: (309) 557-1400
Approximate (ZIP-level) locationGet directions
Mailing address
448 Wylie Dr
Normal, IL 61761-5405
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.