Individual provider · Type 1 NPI

Nicole Marie Sudholt, DMD

Dentist · Peoria, IL

NPI number 1184915431 Active

Practice location

843 W Glen Ave
Peoria, IL 61614-4834

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019028323 (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 1184915431

Nicole Marie Sudholt, DMD's National Provider Identifier is 1184915431, issued on Apr 20, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Peoria, IL. The record was last updated on Apr 20, 2011.