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

Individual provider Dentist · NPI 1184032666

Dr. Shivani Chetan Desai, DMD is a Dentist in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1904 Wakefield Ln
Bloomington, IL 61704-9196
Phone: (309) 287-4952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019029949 (IL)

Record details

NPI number1184032666
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 28, 2014
Last updated in NPPESJuly 28, 2014

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