Mountain Bay Dental Llc is a Dental Clinic in Champaign, Illinois. It is located at 3510 Marianna Dr, Champaign, IL and its contact number is 715-496-1128. The authorized person for Mountain Bay Dental Llc is Mrs. Lanae W Johnson
who is Manager of the clinic and their contact number is 715-496-1128. The primary license number for Mountain Bay Dental Llc is 1001483 (General Practice) in Wisconsin.
Mountain Bay Dental Llc 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:
Mountain Bay Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mountain Bay Dental Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 3510 Marianna Dr, Champaign,
Illinois, 61822-9502 |
| Phone: | 715-496-1128 |
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: | Mrs. Lanae W Johnson |
| Position: | Manager |
| Contact Number: | 715-496-1128 |
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 Mountain Bay Dental Llc clinic are as mentioned below.
| NPI Number: | 1295268019 |
| NPI Enumeration Date: | 08 Apr, 2017 |
| NPI Last Update On: | 08 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain Bay Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 1001483 | Wisconsin | 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: | Mountain Bay Dental Llc
5702 Memorial Ct,
Weston, Wisconsin |
| Zip: | 54476-6502 |
| Phone Number: | 715-496-1128 |
Patients can reach Mountain Bay Dental Llc at
3510 Marianna Dr, Champaign, Illinois or can
call to book an appointment on 715-496-1128.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.