Andrew Adiputra, - Dentist in Champaign, IL

Andrew Adiputra, is a Dentist based in Champaign, Illinois. Andrew Adiputra is licensed to practice in Illinois (license number 019032270) and his current practice location is 314 W Kirby Ave, Champaign, Illinois. He can be reached at his office (for appointments etc.) via phone at (217) 398-9898.

NPI number for Andrew Adiputra is 1205489671 and his current mailing address is 314 W Kirby Ave, Champaign, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205489671.

Contact Information

Andrew Adiputra,
314 W Kirby Ave,
Champaign, IL 61820-7208
(217) 398-9898
Not Available



Healthcare Provider's Profile

Full NameAndrew Adiputra
GenderMale
SpecialityDentist
Location314 W Kirby Ave, Champaign, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205489671
  • Provider Enumeration Date: 07/24/2019
  • Last Update Date: 07/24/2019

Medical Identifiers

Medical identifiers for Andrew Adiputra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205489671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019032270 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Adiputra is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrew Adiputra,
314 W Kirby Ave,
Champaign, IL 61820-7208

Ph: (217) 398-9898
Andrew Adiputra,
314 W Kirby Ave,
Champaign, IL 61820-7208

Ph: (217) 398-9898

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› Verified 6 days ago


Dentist in Champaign, IL

Jae Ung Jung,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1905 W Springfield Ave, Champaign, IL 61821
Phone: 888-988-4066    
Dr. Robert Benjamin Scott, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 805 W. Springfield Ave., Champaign, IL 61820
Phone: 217-352-5088    
Oluwatosin Hannah Ayo-okuwobi,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1905 W Springfield Ave, Champaign, IL 61821
Phone: 888-988-4066    
Dr. Venu Maturi, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 14 E Anthony Dr, Suite B, Champaign, IL 61820
Phone: 217-398-1660    Fax: 217-398-1657
Dr. William Ray Thompson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 507 S Second St, Champaign, IL 61820
Phone: 217-356-1189    Fax: 217-356-1742
Dr. Erika Ynga, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 703 S Neil St, Champaign, IL 61820
Phone: 217-398-2244    Fax: 217-398-9188
Thomas E Standley, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 30 E Green Street, Suite 1, Champaign, IL 61820
Phone: 217-355-5600    Fax: 217-355-4550

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