Lakewood Family Dental

Specialty details in registry · Bloomington, IL

Call (732) 379-0953 Directions

At a glance

1407 N Veterans Pkwy, Bloomington, IL 61704-6630

NPPES record updated Nov 8, 2012. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1407 N Veterans Pkwy Suite 12
Bloomington, IL 61704-6630
Professional details: NPI, taxonomy & registry record
NPI1154675304
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Nov 8, 2012
Record updated
Nov 8, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License reported: 019-028401 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1407 N Veterans Pkwy
Suite 12
Bloomington, IL 61704-6630
Phone
(732) 379-0953
Mailing address
1407 N VETERANS PKWY
SUITE 12
BLOOMINGTON, IL 617046630
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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