Individual provider · Type 1 NPI

Asia Smith-Vernon, RDH

Dentist · Peoria, IL

NPI number 1053783571 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-7171 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019037238 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053783571

Asia Smith-Vernon, RDH's National Provider Identifier is 1053783571, issued on Oct 23, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Peoria, IL. The record was last updated on Jun 22, 2026.