Dental Professionals of Illinois, P.c.

NPI #1376765818 in Peoria, Illinois

Provider Information

NPI Number
1376765818
Entity Type
Organization
Organization Name
Dental Professionals of Illinois, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Primary Specialty
Dentist - General Practice
Enumeration Date
May 3, 2007
Last Updated
Jan 8, 2014

Practice Location

Address
3412 W WILLOW KNOLLS ROAD
Address 2
SUITE A
City
Peoria
ZIP Code
61614
Phone
(309) 690-3262

Authorized Official

Name
LINDSAY BEARDEN
Title
INS COOD
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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