Individual provider · Type 1 NPI

Katherine Mae Shadid, DMD

Dentist · Peoria, IL

NPI number 1144066747 Active

Practice location

843 W Glen Ave
Peoria, IL 61614-4834

Mailing address

11120 N Brookhaven Ct
Peoria, IL 61615-1009

Other practice locations

  • 7314 N Willow Lake Ct Ste D, Peoria, IL 61614-8289 · (309) 692-0175

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.035294 (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 1144066747

Katherine Mae Shadid, DMD's National Provider Identifier is 1144066747, issued on Jul 2, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Peoria, IL. The record was last updated on Jul 2, 2024.