Dentsensus, Pllc

NPI #1649063793 in Peoria, Illinois

Provider Information

NPI Number: 1649063793
Entity Type: Organization
Organization Name: Dentsensus, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 22, 2025
Last Updated: May 22, 2025

Practice Location

Address: 1320 W NORTHMOOR RD STE A
City: Peoria
State: Illinois
ZIP Code: 61614-3425
Phone: (414) 841-2881

Authorized Official

Name: JACK KALLOCH, DMD
Title: DENTIST
Phone: (414) 841-2881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

Additional Practice Locations

124 Eastgate Dr # 3

Washington, IL, 61571-9236

(414) 841-2881

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