Srinivasulu Kakollu, D.D.S
General Dentistry · Bloomington, IL
UnclaimedD.D.SNPI 1265744189
- Primary taxonomy
- 122300000X
- Enumerated
- 2010-07-08
- Practice location
- Bloomington, IL
- Last NPPES update
- 2013-03-11
State licenses
- IL · Dentist · LICENSED DENTISTActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.