Organization · Type 2 NPI
Maple Shade Dental (east Peoria) LLC
Dentist · East Peoria, IL
Practice location
1001 Illini Dr
East Peoria, IL 61611-1883
Mailing address
6240 Lake Osprey Dr Dept 56057
Lakewood Ranch, FL 34240-8421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | None listed |
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…
3 other providers at this address
Other dentist providers in East Peoria
About NPI 1245522267
Maple Shade Dental (east Peoria) LLC's National Provider Identifier is 1245522267, issued on May 10, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in East Peoria, IL. The record was last updated on Jul 21, 2026.