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Dental Professionals of Illinois, P.C.

NPI 1447484571ActiveOrganization· Dentist, General Practice· Bloomington, IL

Dentist, General Practice in Bloomington, Illinois, registered in NPPES in May 2009, part of Dental Professionals of Illinois, P.C. The authorized official on file is Lindsay Bearden, Insurance/Credentialing.

Overview

NPI1447484571
StatusActive
Entity typeOrganization (subpart)
Parent organizationDental Professionals of Illinois, P.C.
NPI issuedMay 4, 2009
Last updated in NPPESJan 7, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Bloomington

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