Organization · Type 2 NPI

Affinity Dental Peoria LLC

General Practice Dentistry · Peoria, IL

NPI number 1336985076 Active

Practice location

3510 N University St Ste C
Peoria, IL 61604-1348

Fax (309) 324-5777

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed
Dental Clinic/Center	261QD0000X	None listed

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.

2 other providers at this address

Other general practice dentistry providers in Peoria

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NPI record

NPI: 1336985076
Entity type: Organization (Type 2)
Issued: Jul 2, 2024
Last updated: Nov 5, 2024
Status: Active

Other names

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Affinity Family Dental Peoria · doing business as
Affinity Family Dental Peoria · doing business as

Authorized official

Srinivas Durshanapalli
President
(203) 215-4687

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About NPI 1336985076

Affinity Dental Peoria LLC's National Provider Identifier is 1336985076, issued on Jul 2, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Nov 5, 2024.