Individual
DR. BRYAN T. TERVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-9741
Mailing address
3204 W CYPRESS CREEK DR, DUNLAP, IL 61525-2514
(971) 336-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.036514
IL
1223G0001X
General Practice Dentistry
2901601231
MI
1223G0001X
General Practice Dentistry
30.021010
OH
1223G0001X
General Practice Dentistry
DF0043
OR
Other
Enumeration date
08/31/2006
Last updated
06/17/2026
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