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Kenneth Gerstein, DDS
Periodontist in Bloomington, Illinois
NPI 1730243056

Kenneth Gerstein is a Periodontist based in Bloomington, IL and is specialized in Periodontics. Kenneth Gerstein practices in Bloomington, IL and has the professional credentials of DDS. The NPI Number for Kenneth Gerstein is 1730243056 and holds a License No. 019014048 (Illinois).

The current practice location address for Kenneth Gerstein is 1404 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-663-4711 and via fax at 309-663-1854.

Location: 1404 Eastland Dr, Bloomington, IL, 61701-3532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730243056
Provider Name
Kenneth Gerstein
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1404 Eastland Dr, Bloomington, IL, 61701-3532
Phone Number
309-663-4711
Fax Number
309-663-1854
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1404 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-3532
Phone Number
309-663-4711
Fax Number
309-663-1854
person
Provider Business Mailing Address Details
Address
1404 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-3532
Phone Number
309-663-4711
Fax Number
309-663-1854
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
019014048 (Illinois)
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.
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