Individual provider · Type 1 NPI
Shannon Havel, DDS
General Practice Dentistry · Peoria, IL
NPI number
1497646772
Active
Practice location
2015 W Glen Ave Ste 230
Peoria, IL 61614-4691
Mailing address
198 W Central St
Raymond, IA 50667-7713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019036257 (IL) |
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
- Andrew Lord BasnetGeneral Practice Dentistry Peoria, IL NPI 1013843945
- Michael Momchev, DDSGeneral Practice Dentistry Peoria, IL NPI 1063301000
- James R. Frost, DDSGeneral Practice Dentistry Peoria, IL NPI 1063552685
- Lori Anne Pollard Rice, DDSGeneral Practice Dentistry Peoria, IL NPI 1063620771
- Alex Hutnik IGeneral Practice Dentistry Peoria, IL NPI 1073920997
- Melia Julia Abou-Hanna, DDSGeneral Practice Dentistry Peoria, IL NPI 1083300552
- Bethelen O. Pudik, DDSGeneral Practice Dentistry Peoria, IL NPI 1083746226
- Jacob Ryan Krisher, DMDGeneral Practice Dentistry Peoria, IL NPI 1124699657
About NPI 1497646772
Shannon Havel, DDS's National Provider Identifier is 1497646772, issued on Jul 14, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Jul 14, 2025.