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VOGUE DENTAL PEORIA LLC
NPI 1265926729
Dentist in Peoria, IL

Active since June 19, 2018
3510 N UNIVERSITY ST STE A, PEORIA, IL 61604(203) 215-4687 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2021, Jun 19, 2018 (2 updates tracked since 2018).

About Vogue Dental Peoria Llc NPPES

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

VOGUE DENTAL PEORIA LLC (NPI 1265926729) is a healthcare organization registered as a dentist in Peoria, Illinois and active in the NPI registry since June 2018. The organization lists Srinivas R Durshanapalli, Owner, as its authorized official.

NPPES Registry Identity

NPI1265926729
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameVOGUE DENTAL PEORIA LLC
Location Address3510 N UNIVERSITY ST STE APeoria, IL 61604-1346
Mailing Address3510 N University St Ste APeoria, IL 61604-1346
Phone(203) 215-4687
Organization SubpartNo
Authorized OfficialSrinivas R DurshanapalliOwner · (203) 215-4687
Enumeration DateJune 19, 2018
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1265926729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
3510 N UNIVERSITY ST STE A, 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 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 Vogue Dental Peoria LLC's NPI number?

The NPI number for Vogue Dental Peoria LLC is 1265926729. It was assigned to this organization in the NPPES registry on June 19, 2018.

Where is Vogue Dental Peoria LLC located?

Vogue Dental Peoria LLC is located at 3510 N University St Ste A, Peoria, IL 61604. The listed phone number is (203) 215-4687.

What is Vogue Dental Peoria 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 Vogue Dental Peoria LLC was last updated on February 17, 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.