DENTAL SEALANTS & MORE


Address: 2126 N. University St., Peoria, IL 61604
Phone: 3093394433

DENTAL SEALANTS & MORE (NPI# 1770755852) 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) 1770755852
Entity Type Organization
Organization Name DENTAL SEALANTS & MORE
Practice Address 2126 N. University St.
Peoria
IL 61604
Practice Telephone 3093394433
Practice Fax Number 3094061326
Mailing Telephone 3093394433
Mailing Fax Number 3094061326
Enumeration Date 2008-03-28
Last Update Date 2017-02-08
Authorized Official Name RENEE KATHERINE DIETZ (PRESIDENT)
Authorized Official Telephone 3093394433
Authorized Official Credential DMD
Is Organization Subpart Y
Parent Organization Name DENTAL SEALANTS & MORE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019-010639 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL DORAL DENTAL OF ILLINOIS 1001319 01

Office Location

Street Address 2126 N. UNIVERSITY ST.
City PEORIA
State IL
Zip Code 61604

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
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
1407948607 Andrew Jon Heritch Psychiatry & Neurology 3116 N Dries Ln, #201, Peoria, IL 61604 2006-09-28
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
1265926729 Vogue Dental Peoria LLC Dentist 3510 N University St Ste A, Peoria, IL 61604-1346 2018-06-19
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
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61604

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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.

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