Individual provider · Type 1 NPI
Michael Momchev, DDS
General Practice Dentistry · Peoria, IL
NPI number
1063301000
Active
Practice location
6712 N Mountello Dr
Peoria, IL 61614-2328
Mailing address
1600 S 4th Ave Ste 110
Morton, IL 61550-3401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019036224 (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.
3 other providers at this address
Other general practice dentistry providers in Peoria
- Andrew Lord BasnetGeneral Practice Dentistry Peoria, IL NPI 1013843945
- James R. Frost, DDSGeneral Practice Dentistry Peoria, IL NPI 1063552685
- Lori Anne Pollard Rice, DDSGeneral Practice Dentistry Peoria, IL NPI 1063620771
- Alex Hutnik IGeneral Practice Dentistry Peoria, IL NPI 1073920997
- Melia Julia Abou-Hanna, DDSGeneral Practice Dentistry Peoria, IL NPI 1083300552
- Bethelen O. Pudik, DDSGeneral Practice Dentistry Peoria, IL NPI 1083746226
- Jacob Ryan Krisher, DMDGeneral Practice Dentistry Peoria, IL NPI 1124699657
- Robert M. Wynn, DMDGeneral Practice Dentistry Peoria, IL NPI 1144352170
About NPI 1063301000
Michael Momchev, DDS's National Provider Identifier is 1063301000, issued on Jul 2, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Jul 2, 2025.