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

Dr. Srinivasulu Kakollu, DDS

Individual provider Dentist · NPI 1265744189

Dr. Srinivasulu Kakollu, DDS is a Dentist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1407 N Veterans Pkwy Ste 12
Bloomington, IL 61704-6425
Phone: (732) 379-0953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019028401 (IL)

Record details

NPI number1265744189
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESMarch 11, 2013

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