IndividualActive
Anthony Pecora, D.D.S.,M.S.
NPI 1366539744 · Periodontics · Bloomington, IL
Provider details
- NPI number
- 1366539744
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.,M.S.
- Sex
- Male
- Sole proprietor
- Yes
Practice location
2103 E Washington St
Bloomington, IL 61701-4310
Phone: (309) 664-1122
Mailing address
2103 E Washington St
Bloomington, IL 61701-4310
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.