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KENNETH GERSTEIN DDS
NPI 1730243056
Dentist - Periodontics in Bloomington, IL

Active since December 21, 2006
1404 EASTLAND DR, BLOOMINGTON, IL 61701(309) 663-4711(309) 663-1854 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Gerstein Dds NPPES

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

KENNETH GERSTEIN DDS (NPI 1730243056) is an individual periodontics provider in Bloomington, Illinois, licensed in Illinois (021001002) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1730243056
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameKENNETH GERSTEINCredential: DDS
Location Address1404 EASTLAND DRBloomington, IL 61701-3532
Mailing Address1404 Eastland DrBloomington, IL 61701-3532 · (309) 663-4711 · Fax (309) 663-1854
Phone(309) 663-4711
Fax(309) 663-1854
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 23, 2009
✔ NPI 1730243056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in IL · 021001002✔ Licensed in IL · 019014048
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1404 EASTLAND DR, Bloomington, IL 61701
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Other Providers at the Same Location NPPES 7

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

DR. DANIEL LYNN MILLIGAN D.D.S.
Dentist (General Practice)
1404 EASTLAND DR, #102
BLOOMINGTON, IL 61701
McLean County (309) 663-9421
LAWRENCE ALAN RAINES MD
Surgery
1404 EASTLAND DR, STE 104
BLOOMINGTON, IL 61701
McLean County (309) 663-4351
MRS. ERIN S REDD APN CNP
Nurse Practitioner
1404 EASTLAND DR, SUITE 204
BLOOMINGTON, IL 61701
McLean County (309) 662-8813
BLOOMINGTON NORMAL AUDIOLOGY
Audiologist
1404 EASTLAND DR, SUITE 203
BLOOMINGTON, IL 61701
McLean County (309) 662-8346
KALI A FEVER APN, CNP
Nurse Practitioner (Family)
1404 EASTLAND DR, SUITE 204
BLOOMINGTON, IL 61701
McLean County (309) 662-8813
TRACY L VANAPELDOORN APRN, FNP-C
Nurse Practitioner (Family)
1404 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 319-2393
DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1404 EASTLAND DR, UNIT 103
BLOOMINGTON, IL 61701
McLean County (309) 664-2284

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 Kenneth Gerstein's NPI number?

The NPI number for Kenneth Gerstein is 1730243056. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Kenneth Gerstein located?

Kenneth Gerstein practices at 1404 Eastland Dr, Bloomington, IL 61701. The listed phone number is (309) 663-4711.

What is Kenneth Gerstein's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kenneth Gerstein was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.