MARIA CONTRERAS MANTILLA (NPI# 1962026948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962026948 |
| Entity Type | Individual |
| Full Name | MARIA CONTRERAS MANTILLA |
| Practice Address |
1320 W Bloomfield Rd Bloomington IN 47403-2001 |
| Practice Telephone | 8123397743 |
| Mailing Telephone | 8123397743 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12013354A | IN | Dental Providers |
| Street Address |
1320 W BLOOMFIELD RD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703026 | Aneetam Bassi | Dentist | 3609 General Electric Rd Ste A, Bloomington, IL 61704-8766 | 2018-09-07 |
| 1467934505 | Mary Therese Block | Dentist | 2507 E Poplar Dr, Bloomington, IN 47401-4327 | 2018-09-05 |
| 1619456373 | Applewhite Dental Illinois, P.C. | Dentist | 2103 E Washington St Ste 1c, Bloomington, IL 61701-4365 | 2018-08-13 |
| 1154842581 | Anna Noel Nord | Dentist | 1404 Eastland Dr Ste 102, Bloomington, IL 61701-7904 | 2017-07-06 |
| 1528416302 | Nathaniel Gonzales | Dentist | 10700 France Ave S Ste 102, Bloomington, MN 55431-3693 | 2016-06-02 |
| 1902251911 | Optim Dental Bloomington LLC | Dentist | 401 N Veterans Pkwy Ste 4, Bloomington, IL 61704-7716 | 2016-04-27 |
| 1194181560 | Sleep Solutions of Central Illinois | Dentist | 2309 E. Empire St, Suite 500, Bloomington, IL 61704-8900 | 2016-01-14 |
| 1619353521 | Courtney Morgan | Dentist | 2306 Stern Dr, Bloomington, IL 61704-4406 | 2015-08-03 |
| 1508240763 | Marisa Lee Milligan | Dentist | 1404 Eastland Dr Ste 101, Bloomington, IL 61701-7904 | 2015-07-16 |
| 1851788988 | Rachael Anne Wilson | Dentist | 4200 West Old Shakopee Rd, Suite 100, Bloomington, MN 55437 | 2015-04-15 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.