DR. MARY SHAH-COX D.D.S.
NPI 1275762007
Dentist in Peoria, IL

Q: What is Mary Shah-cox's NPI number?

The NPI number for Mary Shah-cox is 1275762007. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Q: What is Mary Shah-cox's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Shah-cox was last updated on July 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 14, 2009

809 W DETWEILLER DR, SUITE 805A, PEORIA, IL 61615(309) 692-1320(309) 692-1355 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary Shah-cox D.d.s. NPPES

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

DR. MARY SHAH-COX D.D.S. (NPI 1275762007) is an individual dentist in Peoria, Illinois, licensed in Illinois (019-024798) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1275762007

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MARY SHAH-COXCredential: D.D.S.

Location Address809 W DETWEILLER DR, SUITE 805APeoria, IL 61615-2149

Mailing Address809 W Detweiller Dr, Suite 805aPeoria, IL 61615-2149 · (309) 692-1320 · Fax (309) 692-1355

Phone(309) 692-1320

Fax(309) 692-1355

Sole ProprietorNo

Enumeration DateJuly 14, 2009

✔ NPI 1275762007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019-024798

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.

809 W DETWEILLER DR, Peoria, IL 61615

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Other Providers at the Same Location NPPES 7

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

DR. ALEX HUTNIK I

Dentist (General Practice)