Andrew Adiputra
NPI 1205489671 · on the registry since 2019
Practice
- Address
- 314 W Kirby Ave
Champaign, IL 61820 - Phone
- (217) 398-9898
- Organisation at this address
- Dental Professionals Of Illinois, P.C.
Heartland Family Dental Care Of Illinois, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois