OrganizationActive
Access Dental of Normal PLLC
NPI 1205595915 · General Practice Dentistry · Normal, IL
Provider details
- NPI number
- 1205595915
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Andrea Carrillo, Regional Director
Mailing address
305 S Linden St Ste 101
Normal, IL 61761-4906
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 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.