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IIDSM BLOOMINGTON LLC
NPI 1366710410
Dentist in Bloomington, IL

Active since December 05, 2011
2309 E EMPIRE ST, 500, BLOOMINGTON, IL 61704(309) 319-6568 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Iidsm Bloomington Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IIDSM BLOOMINGTON LLC (NPI 1366710410) is a healthcare organization registered as a dentist in Bloomington, Illinois and active in the NPI registry since December 2011. The organization lists Cailin Spencer, Accounts Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1366710410
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIIDSM BLOOMINGTON LLC
Location Address2309 E EMPIRE ST, 500Bloomington, IL 61704-8636
Mailing Address11825 State Route 40, Suite 100Dunlap, IL 61525-8842 · (309) 243-1341 · Fax (309) 240-0351
Phone(309) 319-6568
Organization SubpartNo
Authorized OfficialCailin SpencerAccounts Receivable Manager · (309) 243-1341
Enumeration DateDecember 5, 2011
Last NPPES UpdateMay 16, 2012
✔ NPI 1366710410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2309 E EMPIRE ST, Bloomington, IL 61704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SLEEP SOLUTIONS OF CENTRAL ILLINOIS LLC
Dentist
2309 E EMPIRE ST, STE. 500
BLOOMINGTON, IL 61704
McLean County (309) 319-6568
DR. SANDY LYNN COLBS PH.D.
Psychologist (Clinical)
2309 E EMPIRE ST, SUITE 400
BLOOMINGTON, IL 61704
McLean County (309) 826-2005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iidsm Bloomington LLC's NPI number?

The NPI number for Iidsm Bloomington LLC is 1366710410. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Iidsm Bloomington LLC located?

Iidsm Bloomington LLC is located at 2309 E Empire St 500, Bloomington, IL 61704. The listed phone number is (309) 319-6568.

What is Iidsm Bloomington LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Iidsm Bloomington LLC was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.