Affordable Dentistry Today, PC
NPI 1205058666ActiveOrganization· Dentist, General Practice· Bloomington, IL
Dentist, General Practice in Bloomington, Illinois, registered in NPPES in May 2007, part of Affordable Dentistry Today, PC. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1205058666 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Affordable Dentistry Today, PC |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Nov 2, 2020 |
| Certified by provider | Nov 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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