institution
Bowers Orthodontic Specialists
Dental Clinic/Center in Bloomington, Illinois
NPI 1962789842

Bowers Orthodontic Specialists is a Dental Clinic/Center based in Bloomington, IL and is specialized in Dental. Bowers Orthodontic Specialists practices in Bloomington, IL. The NPI Number for Bowers Orthodontic Specialists is 1962789842 and holds a License No. 019.023201 (Illinois).

The current practice location address for Bowers Orthodontic Specialists is 9 Heartland Dr, Bloomington, IL and can be reached out via phone at 309-663-0415 and via fax at 309-661-0685. You can also correspond with Bowers Orthodontic Specialists through the mailing address at 9 HEARTLAND DR, BLOOMINGTON, IL - 61704-7732 (mailing address contact number: 309-663-0415).

Location: 9 Heartland Dr, Bloomington, IL, 61704-7732
institution
Provider Profile Details
NPI Number
1962789842
Provider Name
Bowers Orthodontic Specialists
Credential
Provider Entity Type
Organization
Address
9 Heartland Dr, Bloomington, IL, 61704-7732
Phone Number
309-663-0415
Fax Number
309-661-0685
Provider Enumeration Date
11/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019013689 05 IL
021.001647 01 IL ORTHODONTIC LICENSE
019.023201 01 IL DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
9 Heartland Dr
City
State
Zip
61704-7732
Phone Number
309-663-0415
Fax Number
309-661-0685
person
Provider Business Mailing Address Details
Address
9 Heartland Dr
City
State
Zip
61704-7732
Phone Number
309-663-0415
Fax Number
309-661-0685
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019.023201 (Illinois)
Definition
Definition to come...
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