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

Autumn Tatman

Individual provider Dental Hygienist · NPI 1487389581

Autumn Tatman is a Dental Hygienist in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

201 W Kenyon Rd
Champaign, IL 61820-7892
Phone: (217) 531-4279
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 020.015266 (IL)

Record details

NPI number1487389581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address201 W Kenyon Rd, Champaign, IL 61820-7892

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