Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Family Dental Care of East Peoria
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
LINDSAY BEARDEN (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
368 W. WASHINGTON ST., EAST PEORIA, IL 61611
(309) 694-4444
(309) 694-3361
Mailing address
368 W. WASHINGTON ST., EAST PEORIA, IL 61611
(309) 694-4444
(309) 694-3361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
01/09/2014
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