OrganizationActive
Affordable Dentistry Today, PC
NPI 1205058666 · General Practice Dentistry · Bloomington, IL
Provider details
- NPI number
- 1205058666
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Affordable Dentistry Today, PC
- Organization subpart
- Yes
- Authorized official
- Tabatha Lemke, Credentialing Coordinator(217) 540-6078
Specialties & taxonomies
Dental Providers
Practice location
1507 North Veterans Parkway
Suite 2
Bloomington, IL 61704
Phone: (309) 664-5033
Fax: (309) 663-0967
Approximate (ZIP-level) locationGet directions
Mailing address
1507 North Veterans Parkway
Bloomington, IL 61704
Other names (DBA / former)
- Doing business as
- Affordable Dentistry Today - Bloomington
- Doing business as
- Affordable Dentistry Today - Veterans Parkway
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.