OrganizationActive
Affinity Dental Urbana LLC
NPI 1043990211 · General Practice Dentistry · Urbana, IL
Provider details
- NPI number
- 1043990211
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Srinivas Durshanapalli, President(203) 215-4687
Specialties & taxonomies
Dental Providers
Practice location
1720 Philo Rd Ste a
Urbana, IL 61802-6300
Phone: (217) 850-7777
Fax: (217) 903-4777
Approximate (ZIP-level) locationGet directions
Mailing address
1720 Philo Rd Ste a
Urbana, IL 61802-6300
Registry dates
- Enumerated
- 2023-07-21
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.