Smitha B. Rai, D.D.S.

Dentist · Bloomington, IL

Individual Active NPI

NPI number 1255612123

Practice location

1401 N Veterans Pkwy
Bloomington, IL 61704-2296
Phone
(309) 319-9577

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NPI record

NPI
1255612123
Entity type
Individual (Type 1)
Enumeration date
September 6, 2011
Last updated
January 19, 2023
Certified
January 19, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.028315 IL

Mailing address

5305 Ferryman Rd
Bloomington, IL 61705-5901
Phone
(309) 750-1888

About Dr. Rai

Smitha B. Rai, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1401 N Veterans Pkwy, Bloomington, IL 61704-2296. The NPI number 1255612123 was assigned on September 6, 2011 and the record was last updated on January 19, 2023.

Dr. Rai lists a license in the registry: #019.028315 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Smitha B. Rai, D.D.S.?

The NPI number is 1255612123.

What is the phone number of Dr. Rai?

The phone number listed for the practice location is (309) 319-9577.

Where is Dr. Rai located?

1401 N Veterans Pkwy, Bloomington, IL 61704-2296.

What is the taxonomy code for Dr. Rai?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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