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MARTIN RUELAS, DMD, PC
NPI 1104098078
Dentist - General Practice in Peoria, IL

Active since March 31, 2008
10330 N JULIET CT, PEORIA, IL 61615(309) 243-8455(309) 243-8466 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin Ruelas, Dmd, Pc NPPES

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

MARTIN RUELAS, DMD, PC (NPI 1104098078) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since March 2008. The organization lists Martin Ruelas, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104098078
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARTIN RUELAS, DMD, PC
Location Address10330 N JULIET CTPeoria, IL 61615-1199
Mailing AddressPo Box 9423Peoria, IL 61612-9423
Phone(309) 243-8455
Fax(309) 243-8466
Organization SubpartNo
Authorized OfficialMartin RuelasDentist · (309) 243-8455
Enumeration DateMarch 31, 2008
✔ NPI 1104098078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
10330 N JULIET CT, Peoria, IL 61615
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Other Identifiers 1

Medicaid1035425/1004935IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN A RUELAS D.M.D
Dentist (General Practice)
10330 N JULIET CT
PEORIA, IL 61615
Peoria County (309) 243-8455

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 Martin Ruelas, Dmd, PC's NPI number?

The NPI number for Martin Ruelas, Dmd, PC is 1104098078. It was assigned to this organization in the NPPES registry on March 31, 2008.

Where is Martin Ruelas, Dmd, PC located?

Martin Ruelas, Dmd, PC is located at 10330 N Juliet Ct, Peoria, IL 61615. The listed phone number is (309) 243-8455.

What is Martin Ruelas, Dmd, PC'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 Martin Ruelas, Dmd, PC was last updated on March 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.