Individual provider · Type 1 NPI

Jacob Ryan Krisher, DMD

General Practice Dentistry · Peoria, IL

NPI number 1124699657 Active

Practice location

3316 N Avalon Pl
Peoria, IL 61604-1472

Mailing address

1318 W Candletree Dr Ste 2
Peoria, IL 61614-8509

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019033284 (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.

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About NPI 1124699657

Jacob Ryan Krisher, DMD's National Provider Identifier is 1124699657, issued on Jul 6, 2021. 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 6, 2021.