Individual
DR. ASIA SMITH-VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7171
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(708) 328-6935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019037238
IL
124Q00000X
Dental Hygienist
Primary
020012291
IL
Other
Enumeration date
10/23/2015
Last updated
06/22/2026
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