Individual provider · Type 1 NPI

Randal Mark Kowalske, DMD

Dentist · Peoria, IL

NPI number 1669564290 Active

Practice location

3100 N Dries Ln, Suite 301
Peoria, IL 61604-1265

Fax (309) 688-6645

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone 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…

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About NPI 1669564290

Randal Mark Kowalske, DMD's National Provider Identifier is 1669564290, issued on Sep 29, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.