OrganizationActive
Access Dental of Bloomington PLLC
NPI 1073272886 · General Practice Dentistry · Bloomington, IL
Provider details
- NPI number
- 1073272886
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andrea Carrillo, Regional Director(512) 351-2612
Specialties & taxonomies
Dental Providers
Practice location
401 N Veterans Pkwy Ste 4
Bloomington, IL 61704-7716
Phone: (469) 444-2818
Approximate (ZIP-level) locationGet directions
Mailing address
8150 Springwood Dr # 150b
Irving, TX 75063-5810
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.