Individual provider · Type 1 NPI

Bruce Edward Mathes, DDS

General Practice Dentistry · Peoria, IL

NPI number 1992893614 Active

Practice location

121 E Lake Ave, Ste G
Peoria, IL 61614-6182

Call (309) 685-2112 Map

Fax (309) 688-7393

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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.

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About NPI 1992893614

Bruce Edward Mathes, DDS's National Provider Identifier is 1992893614, issued on Oct 10, 2006. 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 8, 2007.