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Mr. Jerome Mithcell, DDS
General Practice Dentistry in Bloomington, Illinois
NPI 1467609875

Jerome Mithcell is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Jerome Mithcell practices in Bloomington, IL and has the professional credentials of DDS. The NPI Number for Jerome Mithcell is 1467609875 and holds a License No. 019017536 (Illinois).

The current practice location address for Jerome Mithcell is 200 W Front St, Bloomington, IL and can be reached out via phone at 309-888-5533 and via fax at 309-888-5896.

Location: 200 W Front St, Bloomington, IL, 61702-6321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467609875
Provider Name
Jerome Mithcell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
200 W Front St, Bloomington, IL, 61702-6321
Phone Number
309-888-5533
Fax Number
309-888-5896
Provider Enumeration Date
08/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 W Front St
City
Bloomington
State
Illinois
Zip
61701-5048
Phone Number
309-888-5533
Fax Number
309-888-5896
person
Provider Business Mailing Address Details
Address
200 W Front St
City
Bloomington
State
Illinois
Zip
61701-5048
Phone Number
309-888-5533
Fax Number
309-888-5896
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019017536 (Illinois)
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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