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Mountain Bay Dental Llc
General Practice Dentistry in Champaign, Illinois
NPI 1295268019

Mountain Bay Dental Llc is a General Practice Dentistry based in Weston, IL and is specialized in General Practice. Mountain Bay Dental Llc practices in Champaign, IL. The NPI Number for Mountain Bay Dental Llc is 1295268019 and holds a License No. 1001483 (Illinois).

The current practice location address for Mountain Bay Dental Llc is 3510 Marianna Dr, Champaign, IL and can be reached out via phone at 715-496-1128. You can also correspond with Mountain Bay Dental Llc through the mailing address at 5702 MEMORIAL CT, WESTON, WI - 54476-6502 (mailing address contact number: 715-496-1128).

Location: 3510 Marianna Dr, Champaign, IL, 54476-6502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295268019
Provider Name
Mountain Bay Dental Llc
Credential
Provider Entity Type
Organization
Address
3510 Marianna Dr, Champaign, IL, 54476-6502
Phone Number
715-496-1128
Fax Number
Provider Enumeration Date
04/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3510 Marianna Dr
City
Champaign
State
Illinois
Zip
61822-9502
Phone Number
715-496-1128
Fax Number
person
Provider Business Mailing Address Details
Address
3510 Marianna Dr
City
Champaign
State
Illinois
Zip
61822-9502
Phone Number
715-496-1128
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1001483 (Wisconsin)
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.
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