VOGUE DENTAL PEORIA LLC


Address: 3510 N University St Ste A, Peoria, IL 61604-1346
Phone: 2032154687

VOGUE DENTAL PEORIA LLC (NPI# 1265926729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265926729
Entity Type Organization
Organization Name VOGUE DENTAL PEORIA LLC
Practice Address 3510 N University St Ste A
Peoria
IL 61604-1346
Practice Telephone 2032154687
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Authorized Official Name DR. SRINIVAS R DURSHANAPALLI (OWNER)
Authorized Official Telephone 2032154687
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 3510 N UNIVERSITY ST STE A
City PEORIA
State IL
Zip Code 61604-1346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649893470 Surendra Reddy Mandapati Dentist 3510 N University St Ste A, Peoria, IL 61604-1346 2020-05-27
1578117768 Juhi Dilipkumar Hirpara Dentist 3510 N University St Ste A, Peoria, IL 61604-1346 2019-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205357928 Nydia I Rodriguez Nurse's Aide 3305 N Finnell Ave, Peoria, IL 61604 2017-07-03
1720327976 Brin Diagnostics Inc. Clinical Medical Laboratory 3216 W Kenwood, West Peoria, IL 61604 2013-02-07
1225373715 Ngocyen Thi Ngo Pharmacist 2515 N Knoxville Avenue, Peoria, IL 61604 2012-12-10
1194027003 Schelly Chiropractic, Inc Chiropractor 1208 W Loucks, Peoria, IL 61604 2010-11-29
1770755852 Dental Sealants & More Dentist 2126 N. University St., Peoria, IL 61604 2008-03-28
1821266123 David L Krick Dentist 2022 N University, Peoria, IL 61604 2008-02-20
1568658409 Advanced Physicians Health Care, S.c. Chiropractor 1200 West Loucks Ave, Peoria, IL 61604 2007-09-24
1902006000 Noel Liu Dentist 3127 N. University St., Unit C, Peoria, IL 61604 2007-07-18
1568586386 Susan B Bordenave-bishop Dentist 2116 N. Sheridan, Peoria, IL 61604 2007-03-19
1174689897 Paul Anthony Amodeo Dentist 3100 N Dries Lane, Suite 301, Peoria, IL 61604 2006-12-28
Find all providers in zip 61604

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386258689 Joshua Dutton Dentist 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 2020-09-03
1750908992 Asfia Kauser Dentist 4325 W Castleton Rd, Peoria, IL 61615-2821 2020-07-04
1528694247 Lake Pleasant Kids Dentists and Orthodontics, LLP Dentist 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 2020-03-13
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1669958781 Plaza Family Dental Inc Dentist 9145 W Thunderbird Rd Ste H105, Peoria, AZ 85381-4820 2018-07-11
1578058293 Bhumikaben Patel Dentist 5400 W Sienna Ln Apt 2202, Peoria, IL 61615-7857 2018-06-25
1841784493 Jeffrey Jay Chen Dentist 9016 N Allen Rd Ste B, Peoria, IL 61615-1560 2018-06-18
1013422138 Joseph Nicholas Taylor Dentist 7310 N Villa Lake Dr Ste B, Peoria, IL 61614-8268 2017-12-12
1457881351 Jaclyn Macdonald Dentist 2214 N University St, Peoria, IL 61604-3221 2017-06-14
1366985418 Morgan Rae Renner Dentist 6926 N University St, Peoria, IL 61614-1750 2016-11-22
Find all providers in PEORIA

Competitor

Search similar providers

City PEORIA
Zip Code 61604

Improve Information

Please comment or provide details below to improve the information on VOGUE DENTAL PEORIA LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches