Beau Hendren-Santiago
Beau Hendren-Santiago is a General Practice Dentistry in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2026.
- Licensed in
- IL
- In the registry since
- 2026
Practice location Address checks out
405 S Prospect RdBloomington, IL 61704-4900
Phone: (309) 830-4382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 319.025320 (IL) |
|---|
Record details
| NPI number | 1770400913 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 30, 2026 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
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