Jerome Mithcell, DDS

General Practice Dentistry · Bloomington, IL

Individual Active NPI

NPI number 1467609875

Practice location

200 W Front St
Bloomington, IL 61701-5048
Phone
(309) 888-5533
Fax
(309) 888-5896

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NPI record

NPI
1467609875
Entity type
Individual (Type 1)
Enumeration date
August 27, 2008
Last updated
August 27, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019017536 IL

Mailing address

PO Box 6321
Bloomington, IL 61702-6321
Phone
(309) 310-3273

About Dr. Mithcell

Jerome Mithcell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 200 W Front St, Bloomington, IL 61701-5048. The NPI number 1467609875 was assigned on August 27, 2008 and the record was last updated on August 27, 2008.

Dr. Mithcell lists a license in the registry: #019017536 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerome Mithcell, DDS?

The NPI number is 1467609875.

What is the phone number of Dr. Mithcell?

The phone number listed for the practice location is (309) 888-5533.

Where is Dr. Mithcell located?

200 W Front St, Bloomington, IL 61701-5048.

What is the taxonomy code for Dr. Mithcell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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