1. Home
  2. Directory
  3. Illinois
  4. Pekin
  5. Dentist
  6. NPI Profile

AFFINITY DENTAL PEKIN LLC
NPI 1255016044
Dentist - General Practice in Pekin, IL

Active since June 19, 2023
135 RADIO CITY DR STE A, PEKIN, IL 61554(309) 217-7777(309) 650-1777 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Affinity Dental Pekin Llc NPPES

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

AFFINITY DENTAL PEKIN LLC (NPI 1255016044) is a healthcare organization registered as a general practice in Pekin, Illinois and active in the NPI registry since June 2023. The organization lists Srinivas Durshanapalli, President, as its authorized official.

NPPES Registry Identity

NPI1255016044
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAFFINITY DENTAL PEKIN LLC
Location Address135 RADIO CITY DR STE APekin, IL 61554-1568
Mailing Address135 Radio City Dr Ste APekin, IL 61554-1568 · (309) 217-7777 · Fax (309) 650-1777
Phone(309) 217-7777
Fax(309) 650-1777
Organization SubpartNo
Authorized OfficialSrinivas DurshanapalliPresident · (203) 215-4687
Enumeration DateJune 19, 2023
NPPES CertifiedJune 19, 2023
✔ NPI 1255016044 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.
135 RADIO CITY DR STE A, Pekin, IL 61554
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

KEERTHI PRASANNA CHENNURI
Dentist
135 RADIO CITY DR STE A
PEKIN, IL 61554
Tazewell County (954) 870-9991

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 Affinity Dental Pekin LLC's NPI number?

The NPI number for Affinity Dental Pekin LLC is 1255016044. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Affinity Dental Pekin LLC located?

Affinity Dental Pekin LLC is located at 135 Radio City Dr Ste A, Pekin, IL 61554. The listed phone number is (309) 217-7777.

What is Affinity Dental Pekin LLC's specialty?

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

What insurance does Affinity Dental Pekin LLC accept?

Health plans from UnitedHealthcare list Affinity Dental Pekin LLC 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 Affinity Dental Pekin LLC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.