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PRAIRIE DENTAL ASSOCIATES
NPI 1629403167
Dentist - General Practice in Bloomington, IL

Active since September 03, 2013
3220 GERIG DR, BLOOMINGTON, IL 61704(309) 662-7722 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Dental Associates NPPES

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

PRAIRIE DENTAL ASSOCIATES (NPI 1629403167) is a healthcare organization registered as a general practice in Bloomington, Illinois and active in the NPI registry since September 2013. The organization lists Daniel Jacobsen, Partner, as its authorized official.

NPPES Registry Identity

NPI1629403167
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSIKORA & JACOBSEN LLC
Location Address3220 GERIG DRBloomington, IL 61704-6394
Mailing Address3220 Gerig DrBloomington, IL 61704-6394 · (309) 662-7722
Phone(309) 662-7722
Organization SubpartNo
Authorized OfficialDaniel JacobsenPartner · (309) 662-7722
Enumeration DateSeptember 3, 2013
✔ NPI 1629403167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.028635
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3220 GERIG DR, Bloomington, IL 61704
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Other Names 1

Doing Business AsPrairie Dental Associates

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 4

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

DR. CAROLINE OWENS DMD
Dentist (General Practice)
3220 GERIG DR
BLOOMINGTON, IL 61704
McLean County (309) 662-7722
PRAIRIE DENTAL ASSOCIATES, P.C.
Dentist (General Practice)
3220 GERIG DR
BLOOMINGTON, IL 61704
McLean County (309) 662-7722
DR. CHRISTOPHER MICHAEL SIKORA D.M.D.
Dentist (General Practice)
3220 GERIG DR
BLOOMINGTON, IL 61704
McLean County (309) 662-7722
DR. DANIEL R JACOBSEN D.M.D.
Dentist (General Practice)
3220 GERIG DR
BLOOMINGTON, IL 61704
McLean County (309) 662-7722

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 Sikora & Jacobsen LLC's NPI number?

The NPI number for Sikora & Jacobsen LLC is 1629403167. It was assigned to this organization in the NPPES registry on September 3, 2013. The provider is doing business as Prairie Dental Associates.

Where is Sikora & Jacobsen LLC located?

Sikora & Jacobsen LLC is located at 3220 Gerig Dr, Bloomington, IL 61704. The listed phone number is (309) 662-7722.

What is Sikora & Jacobsen LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Sikora & Jacobsen LLC was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.