OrganizationActive
Access Dental of Normal PLLC
NPI 1205595915 · General Practice Dentistry · Normal, IL
Access Dental of Normal PLLC is a General Practice Dentistry organization in Normal, IL (NPI 1205595915).
Provider details
- NPI number
- 1205595915
- 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
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 S Linden St Ste 101
Normal, IL 61761-4906
Phone: (309) 296-0227
Street-level locationGet directions
Mailing address
305 S Linden St Ste 101
Normal, IL 61761-4906
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Frequently asked questions
- What is Access Dental of Normal PLLC's NPI number?
- Access Dental of Normal PLLC's National Provider Identifier (NPI) is 1205595915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Access Dental of Normal PLLC?
- Access Dental of Normal PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Access Dental of Normal PLLC located?
- Access Dental of Normal PLLC's practice location on file with NPPES is 305 S Linden St Ste 101, Normal, IL 61761-4906.
- What is Access Dental of Normal PLLC's phone number?
- The practice phone number listed in the NPPES registry for Access Dental of Normal PLLC is (309) 296-0227.
- Who is the authorized official for Access Dental of Normal PLLC?
- The authorized official listed on Access Dental of Normal PLLC's NPPES record is Andrea Carrillo, Regional Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Access Dental of Normal PLLC's NPI active?
- Yes — Access Dental of Normal PLLC's NPI (1205595915) is active in the NPPES registry as of the last update on 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.