AFFINITY DENTAL PEORIA HEIGHTS LLC
NPI 1093642001
Dentist - General Practice in Peoria Heights, IL

Q: What is Affinity Dental Peoria Heights LLC's NPI number?

The NPI number for Affinity Dental Peoria Heights LLC is 1093642001. It was assigned to this organization in the NPPES registry on May 5, 2026.

Q: What is Affinity Dental Peoria Heights LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 05, 2026

4450 N PROSPECT RD STE S5, PEORIA HEIGHTS, IL 61616(309) 327-3333(309) 561-7333 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Affinity Dental Peoria Heights Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFINITY DENTAL PEORIA HEIGHTS LLC (NPI 1093642001) is a healthcare organization registered as a general practice in Peoria Heights, Illinois and active in the NPI registry since May 2026. The organization lists Srinivas Durshanapalli, President, as its authorized official.

NPPES Registry Identity

NPI1093642001

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameAFFINITY DENTAL PEORIA HEIGHTS LLC

Location Address4450 N PROSPECT RD STE S5Peoria Heights, IL 61616-6578

Mailing Address4450 N Prospect Rd Ste S5Peoria Heights, IL 61616-6578 · (309) 327-3333 · Fax (309) 561-7333

Phone(309) 327-3333

Fax(309) 561-7333

Organization SubpartNo

Authorized OfficialSrinivas DurshanapalliPresident · (888) 244-8899

Enumeration DateMay 5, 2026

NPPES CertifiedMay 5, 2026

✔ NPI 1093642001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

4450 N PROSPECT RD STE S5, Peoria Heights, IL 61616

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Affinity Dental Peoria Heights LLC's NPI number?

The NPI number for Affinity Dental Peoria Heights LLC is 1093642001. It was assigned to this organization in the NPPES registry on May 5, 2026.

Where is Affinity Dental Peoria Heights LLC located?

Affinity Dental Peoria Heights LLC is located at 4450 N Prospect Rd Ste S5, Peoria Heights, IL 61616. The listed phone number is (309) 327-3333.

What is Affinity Dental Peoria Heights LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Affinity Dental Peoria Heights LLC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.