Organization · Type 2 NPI

Dental Professionals of Illinois, P.c.

General Practice Dentistry · Peoria, IL

NPI number 1093928368 Active

Practice location

7310 N. Villa Lake Drive, Suite A
Peoria, IL 61614

Fax (309) 689-0759

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

Another provider at this address

Lifetime Dental Care of Illinois, PCGeneral Practice Dentistry Peoria, IL NPI 1487866919

Other general practice dentistry providers in Peoria

See all in Peoria →

NPI record

NPI: 1093928368
Entity type: Organization (Type 2)
Issued: May 7, 2007
Last updated: Jan 8, 2014
Status: Active
Subpart: Yes of Dental Professionals of Illinois, P.c.

Other names

<unavail>
Smile Design Dental Center · doing business as

Authorized official

Lindsay Bearden
Ins Cood
(217) 540-5100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093928368

Dental Professionals of Illinois, P.c.'s National Provider Identifier is 1093928368, issued on May 7, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Jan 8, 2014.