OrganizationActive
Iidsm Bloomington LLC
NPI 1366710410 · Dentist · Bloomington, IL
Provider details
- NPI number
- 1366710410
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Cailin Spencer, Accounts Receivable Manager(309) 243-1341
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2309 E Empire St
500
Bloomington, IL 61704-8636
Phone: (309) 319-6568
Street-level locationGet directions
Mailing address
11825 State Route 40
Dunlap, IL 61525-8842
Registry dates
- Enumerated
- 2011-12-05
- Last updated
- 2012-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.