Individual provider · Type 1 NPI

Shivam Malhan

Dentist · Peoria, IL

NPI number 1801626668 Active · reactivated Aug 19, 2026

Practice location

7417 N Knoxville Ave
Peoria, IL 61614-2019

Call (309) 322-1220 Map

Mailing address

7417 Knoxville Avenue
Peoria, IL 61614

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.037279 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1801626668

Shivam Malhan's National Provider Identifier is 1801626668, issued on Aug 6, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Peoria, IL. The record was last updated on Sep 8, 2026.