| Endodontic Specialists Llc | |
|
3601 General Electric Road Suite 6 Bloomington IL 61704 | |
| (309) 663-9521 | |
| (309) 663-0346 |
| Full Name | Endodontic Specialists Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3601 General Electric Road, Bloomington, Illinois |
| Authorized Official Name and Position | Steven Mark Sieraski (MEMBER LLC) |
| Authorized Official Contact | 3096639521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Specialists Llc 3601 General Electric Road Suite 6 Bloomington IL 61704 Ph: (309) 663-9521 | Endodontic Specialists Llc 3601 General Electric Road Suite 6 Bloomington IL 61704 Ph: (309) 663-9521 |
| NPI Number | 1194895219 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194895219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Illinois) | Primary |
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