ASSOCIATED ORAL SURGEONS
NPI 1154357291
Dentist - Oral and Maxillofacial Surgery in Peoria, IL

Q: What is Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since June 23, 2006

5720 N KNOXVILLE AVE, PEORIA, IL 61614(309) 682-1213(309) 682-5386 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Aug 22, 2020 (2 updates tracked since 2020).

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About Associated Oral Surgeons NPPES

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

ASSOCIATED ORAL SURGEONS (NPI 1154357291) is a healthcare organization registered as an oral and maxillofacial surgery in Peoria, Illinois and active in the NPI registry since June 2006. The organization lists Robyn Wolfe, Practice Leader, as its authorized official.

NPPES Registry Identity

NPI1154357291

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD

Location Address5720 N KNOXVILLE AVEPeoria, IL 61614-4331

Mailing Address5720 N Knoxville AvePeoria, IL 61614-4331 · (309) 682-1213 · Fax (309) 682-5386

Phone(309) 682-1213

Fax(309) 682-5386

Organization SubpartNo

Authorized OfficialRobyn WolfePractice Leader · (309) 682-1249

Enumeration DateJune 23, 2006

Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1154357291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in IL · 019024407✔ Licensed in IL · 019023700

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5720 N KNOXVILLE AVE, Peoria, IL 61614

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Other Names 1

Other NameAssociated Oral Surgeons

Other Identifiers 2

Other019024407IL · Larry D. Otte License Num

Other019023700IL · John J. Otten License Num

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 MULTIPLE 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.

NATHAN D SCHROEDER D.M.D.

Dentist (Oral and Maxillofacial Surgery)

5720 N KNOXVILLE AVE
PEORIA, IL 61614

Peoria County (309) 682-1213

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 Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd's NPI number?

The NPI number for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is 1154357291. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is also known as Associated Oral Surgeons.

Where is Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd located?

Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is located at 5720 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 682-1213.

What is Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.