MOUNTAIN BAY DENTAL LLC is a general practice dentist in Champaign, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MOUNTAIN BAY DENTAL LLC NPI is 1295268019. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3510 MARIANNA DR
CHAMPAIGN, IL
ZIP 61822-502
Phone: (715) 496-1128
The provider's authorized official is Lanae W Johnson .
The authorized official title is Manager and has the following contact phone number (715) 496-1128.
The enumeration date for this NPI number is 4/8/2017 and was last updated on 4/8/2017.