ACCESS DENTAL OF PEORIA VOGUE PLLC
NPI 1306505110
Dentist - General Practice in Peoria, IL

Q: What is Access Dental Of Peoria Vogue PLLC's NPI number?

The NPI number for Access Dental Of Peoria Vogue PLLC is 1306505110. It was assigned to this organization in the NPPES registry on December 9, 2021.

Q: What is Access Dental Of Peoria Vogue PLLC's specialty?

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

Active since December 09, 2021

3510 N UNIVERSITY ST, PEORIA, IL 61604(309) 306-8888 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Access Dental Of Peoria Vogue Pllc NPPES

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

ACCESS DENTAL OF PEORIA VOGUE PLLC (NPI 1306505110) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since December 2021. The organization lists Andrea Carrillo, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1306505110

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameACCESS DENTAL OF PEORIA VOGUE PLLC

Location Address3510 N UNIVERSITY STPeoria, IL 61604-1345

Mailing Address8150 Springwood Dr # 150bIrving, TX 75063-5810

Phone(309) 306-8888

Organization SubpartNo

Authorized OfficialAndrea CarrilloRegional Director · (512) 351-2612

Enumeration DateDecember 9, 2021

NPPES CertifiedDecember 9, 2021

✔ NPI 1306505110 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.

3510 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 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 Access Dental Of Peoria Vogue PLLC's NPI number?

The NPI number for Access Dental Of Peoria Vogue PLLC is 1306505110. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Access Dental Of Peoria Vogue PLLC located?

Access Dental Of Peoria Vogue PLLC is located at 3510 N University St, Peoria, IL 61604. The listed phone number is (309) 306-8888.

What is Access Dental Of Peoria Vogue PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Access Dental Of Peoria Vogue PLLC was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.