Organization · Type 2 NPI

Pine Glen Dental Group, Ltd

General Practice Dentistry · Peoria, IL

NPI number 1053677765 Active

Practice location

838 W Glen Ave
Peoria, IL 61614-4835

Call (309) 691-1990 Map

Fax (309) 691-9112

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X060010781 (IL)

General Practice Dentistry: 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.

5 other providers at this address

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About NPI 1053677765

Pine Glen Dental Group, Ltd's National Provider Identifier is 1053677765, issued on Apr 6, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Apr 6, 2012.