DR. ANTHONY PECORA PECORA (NPI# 1366539744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366539744 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY PECORA PECORA |
| Credential | D.D.S.,M.S. |
| Practice Address |
2103 E Washington St Bloomington IL 61701-4310 |
| Practice Telephone | 3096641122 |
| Mailing Telephone | 3096641122 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740332196 | Anthony J Pecora | Nurse Anesthetist, Certified Registered | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-01-17 |
| Street Address |
2103 E WASHINGTON ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468344 | Rex Dale Moore | Dentist | 2103 E Washington St, Ste 3e, Bloomington, IL 61701-4310 | 2005-09-27 |
| 1508315219 | Brittany Malak | Marriage & Family Therapist | 2103 E Washington St, Suite 2g, Bloomington, IL 61701-4310 | 2016-09-23 |
| 1457780082 | Darci Newton | Counselor | 2103 E Washington St, Ste 3e, Bloomington, IL 61701-4365 | 2013-11-04 |
| 1750633566 | Emil M. Verban | Dentist | 2103 E Washington St, Suite 1c, Bloomington, IL 61701-4310 | 2012-10-04 |
| 1417216870 | Mclean County Dental | Dentist | 2103 E Washington St, Suite 1c, Bloomington, IL 61701-4310 | 2012-05-04 |
| 1386810869 | Frank W. Foehr Dds, Ltd | Dentist | 2103 E Washington St, Bloomington, IL 61701-4310 | 2008-05-05 |
| 1013069913 | Michael Allen Pauley | Dentist | 2103 E Washington St, Suite 3, Bloomington, IL 61701-4310 | 2007-01-18 |
| 1245334978 | Emil M Verban Jr. | Dentist | 2103 E Washington St, Bloomington, IL 61701 | 2006-09-12 |
| 1194730648 | Wilson W. Movic | Optometrist | 2103 E Washington St, Bloomington, IL 61701-4310 | 2006-07-30 |
| 1720004070 | William K. Vanderwaal | Dentist | 2103 E Washington St, Bloomington, IL 61701-4310 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265565253 | Mark A Sutor | Dentist | 379 S Park Ridge Rd, Bloomington, IN 47401-8574 | 2007-03-13 |
| 1912036708 | Thomas Merle Johnson | Dentist | 2103 E Washington St Ste 4a, Bloomington, IL 61701-4365 | 2007-03-05 |
| 1730205121 | William John Sentiere | Dentist | 3925 Hagan St, 204, Bloomington, IN 47401-8556 | 2007-03-21 |
| 1730243056 | Kenneth Gerstein | Dentist | 1404 Eastland Dr, Bloomington, IL 61701-3532 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
| 1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
| 1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
| 1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.