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SECURE DENTAL LLC
NPI 1154607422
Dentist in Peoria, IL

Active since October 31, 2011
3127 N. UNIVERSITY ST., PEORIA, IL 61604(309) 681-8888 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Secure Dental Llc NPPES

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

SECURE DENTAL LLC (NPI 1154607422) is a healthcare organization registered as a dentist in Peoria, Illinois and active in the NPI registry since October 2011. The organization lists Noel Liu, Member, as its authorized official.

NPPES Registry Identity

NPI1154607422
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSECURE DENTAL LLC
Location Address3127 N. UNIVERSITY ST.Peoria, IL 61604
Mailing Address1695 Divine DrRockford, IL 61107-5417 · (815) 670-2923
Phone(309) 681-8888
Organization SubpartNo
Authorized OfficialNoel LiuMember · (815) 670-2923
Enumeration DateOctober 31, 2011
Last NPPES UpdateJanuary 27, 2012
✔ NPI 1154607422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019027468
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3127 N. UNIVERSITY ST., Peoria, IL 61604
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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

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 Secure Dental LLC's NPI number?

The NPI number for Secure Dental LLC is 1154607422. It was assigned to this organization in the NPPES registry on October 31, 2011.

Where is Secure Dental LLC located?

Secure Dental LLC is located at 3127 N. University St., Peoria, IL 61604. The listed phone number is (309) 681-8888.

What is Secure Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Secure Dental LLC was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.