AFFINITY DENTAL PEORIA HEIGHTS LLC
NPI 1093642001
Dentist - General Practice in Peoria Heights, IL
- Organization
- Dentist
- General Practice
About AFFINITY DENTAL PEORIA HEIGHTS LLC
This page provides the complete NPI Profile along with additional information for Affinity Dental Peoria Heights Llc, a provider established in Peoria Heights, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1093642001 assigned on May 2026. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Srinivas Durshanapalli Dds (President)
- NPI
- 1093642001 Verify this NPI
- Provider Name
- AFFINITY DENTAL PEORIA HEIGHTS LLC
- Entity Type
- Organization
- Location Address
- 4450 N PROSPECT RD STE S5 PEORIA HEIGHTS, IL 61616
- Location Phone
- (309) 327-3333
- Location Fax
- (309) 561-7333
- Mailing Address
- 4450 N PROSPECT RD STE S5 PEORIA HEIGHTS, IL 61616
- Mailing Phone
- (309) 327-3333
- Mailing Fax
- (309) 561-7333
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2026
- Last Update Date
- 05-05-2026
- Code Navigator
A dentist like Affinity Dental Peoria Heights Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093642001, enumerated as an "organization" on May 05, 2026.
The provider is located at 4450 N PROSPECT RD STE S5 PEORIA HEIGHTS, IL 61616 and the phone number is (309) 327-3333.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
