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SOLO DENTAL GROUP PLLC
NPI 1689562373
Dentist - General Practice in Bloomington, IL

Active since June 24, 2025
2111 E OAKLAND AVE STE D, BLOOMINGTON, IL 61701(309) 663-6564 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Jun 24, 2025 (2 updates tracked since 2025).

About Solo Dental Group Pllc NPPES

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

SOLO DENTAL GROUP PLLC (NPI 1689562373), doing business as Solo Dental, is a healthcare organization registered as a general practice in Bloomington, Illinois and active in the NPI registry since June 2025. The organization lists Cristian Sosa, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1689562373
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOLO DENTAL GROUP PLLC
Location Address2111 E OAKLAND AVE STE DBloomington, IL 61701-5783
Mailing Address2111 E Oakland Ave Ste DBloomington, IL 61701-5783 · (309) 663-6564
Phone(309) 663-6564
Organization SubpartNo
Authorized OfficialCristian SosaManaging Member · (323) 396-1791
Enumeration DateJune 24, 2025
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1689562373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2111 E OAKLAND AVE STE D, Bloomington, IL 61701
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Other Names 1

Doing Business AsSolo Dental

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.

GRACE CHRISTIANSON
Dental Hygienist
2111 E OAKLAND AVE STE D
BLOOMINGTON, IL 61701
McLean County (309) 663-6564
DIANA LOPEZ
Dentist (Prosthodontics)
2111 E OAKLAND AVE STE D
BLOOMINGTON, IL 61701
McLean County (309) 663-6564
KIMBERLY LYNN MATTHEWS
Dental Hygienist
2111 E OAKLAND AVE STE D
BLOOMINGTON, IL 61701
McLean County (309) 663-6564
JULIA SUE CASH RDH
Dental Hygienist
2111 E OAKLAND AVE STE D
BLOOMINGTON, IL 61701
McLean County (309) 663-6564

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 Solo Dental Group PLLC's NPI number?

The NPI number for Solo Dental Group PLLC is 1689562373. It was assigned to this organization in the NPPES registry on June 24, 2025. The provider is doing business as Solo Dental.

Where is Solo Dental Group PLLC located?

Solo Dental Group PLLC is located at 2111 E Oakland Ave Ste D, Bloomington, IL 61701. The listed phone number is (309) 663-6564.

What is Solo Dental Group PLLC'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 Solo Dental Group PLLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.