Shannon Havel, DDS

NPI #1497646772 in Peoria, Illinois

Provider Information

NPI Number: 1497646772
Entity Type: Individual
Name: Shannon Havel, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 14, 2025
Last Updated: Jul 14, 2025

Practice Location

Address: 2015 W GLEN AVE STE 230
City: Peoria
State: Illinois
ZIP Code: 61614-4691
Phone: (309) 673-4616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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