Individual provider · Type 1 NPI
Christa Yvette Spates, DDS
Pediatric Dentistry · Peoria, IL
NPI number
1952472276
Active
Practice location
1320 W Northmoor Rd
Peoria, IL 61614-3470
Fax (309) 691-6326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 01923199 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1952472276
Christa Yvette Spates, DDS's National Provider Identifier is 1952472276, issued on Nov 10, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.