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JACOB RYAN KRISHER DMD
NPI 1124699657
Dentist - General Practice in Peoria, IL

Active since July 06, 2021
3316 N AVALON PL, PEORIA, IL 61604(309) 335-0531 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Ryan Krisher Dmd NPPES

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

JACOB RYAN KRISHER DMD (NPI 1124699657) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (019033284) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1124699657
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB RYAN KRISHERCredential: DMD
Location Address3316 N AVALON PLPeoria, IL 61604-1472
Mailing Address1318 W Candletree Dr Ste 2Peoria, IL 61614-8509 · (309) 692-6206
Phone(309) 335-0531
Sole ProprietorNo
Enumeration DateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
✔ NPI 1124699657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019033284
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.
3316 N AVALON PL, Peoria, IL 61604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Jacob Krisher's NPI number?

The NPI number for Jacob Krisher is 1124699657. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Jacob Krisher located?

Jacob Krisher practices at 3316 N Avalon Pl, Peoria, IL 61604. The listed phone number is (309) 335-0531.

What is Jacob Krisher's specialty?

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

What insurance does Jacob Krisher accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jacob Krisher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Krisher was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.