Individual provider · Type 1 NPI

Derek P. Grzanich, DDS

Endodontics · Peoria, IL

NPI number 1487736112 Active

Practice location

9016 N Allen Rd, Suite B
Peoria, IL 61615-1513

Fax (309) 690-4500

Mailing address

5518 W Brookmere Drive
Edwards, IL 61528-9407

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019026724 (IL)
Endodontics Primary 1223E0200X29339 (TX)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1487736112

Derek P. Grzanich, DDS's National Provider Identifier is 1487736112, issued on Oct 20, 2006. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Peoria, IL. The record was last updated on Sep 12, 2025.