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

Iidsm Bloomington LLC

Organization Dentist · NPI 1366710410

Iidsm Bloomington LLC is a Dentist in Bloomington, Illinois. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2309 E Empire St 500
Bloomington, IL 61704-8636
Phone: (309) 319-6568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1366710410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cailin Spencer — Accounts Receivable Manager · (309) 243-1341
NPI enumeratedDecember 5, 2011
Last updated in NPPESMay 16, 2012
Mailing address11825 State Route 40, Suite 100, Dunlap, IL 61525-8842

Other providers in Bloomington