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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019033284 (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.