Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Dental Associates, PC

Organization General Practice Dentistry · NPI 1528253994

Prairie Dental Associates, PC provides General Practice Dentistry in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3220 Gerig Dr
Bloomington, IL 61704-6394 Not confirmed with CMS for 19 years — call before visiting
Phone: (309) 662-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1528253994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephey — Ceo · (309) 662-7722
NPI enumeratedSeptember 10, 2007
Last updated in NPPESSeptember 10, 2007
Mailing address3220 Gerig Dr, Bloomington, IL 61704-6394

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