is a Dental Clinic in Champaign, Illinois. It is located at 102 W Springfield Ave, Champaign, IL and its contact number is 217-352-9688. The authorized person for is Dr. Jeffrey Todd Brunson
who is Owner of the clinic and their contact number is 217-352-9688. The primary license number for is 060001223 (General Practice) in Illinois. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
102 W Springfield Ave, Champaign, Illinois, 61820-4814
Phone:
217-352-9688
Fax:
217-398-7813
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jeffrey Todd Brunson
Position:
Owner
Contact Number:
217-352-9688
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1629186713
NPI Enumeration Date:
28 Aug, 2006
NPI Last Update On:
23 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
060001223
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
102 W Springfield Ave, Champaign, Illinois
Zip:
61820-4814
Phone Number:
217-352-9688
Fax Number:
217-398-7813
Patients can reach at 102 W Springfield Ave, Champaign, Illinois or can call to book an appointment on 217-352-9688. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.