AFFINITY FAMILY DENTAL PEORIA
NPI 1336985076
Dentist - General Practice in Peoria, IL

Active since July 02, 2024
3510 N UNIVERSITY ST STE C, PEORIA, IL 61604(309) 271-7777(309) 324-5777 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2024, Aug 9, 2024, Jul 2, 2024 (3 updates tracked since 2024).

About Affinity Family Dental Peoria NPPES

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

AFFINITY FAMILY DENTAL PEORIA (NPI 1336985076) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since July 2024. The organization lists Srinivas Durshanapalli, President, as its authorized official.

NPPES Registry Identity

NPI1336985076
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAFFINITY DENTAL PEORIA LLC
Location Address3510 N UNIVERSITY ST STE CPeoria, IL 61604-1348
Mailing Address3510 N University St Ste CPeoria, IL 61604-1348 · (309) 271-7777 · Fax (309) 324-5777
Fax(309) 324-5777
Organization SubpartNo
Authorized OfficialSrinivas DurshanapalliPresident · (203) 215-4687
Enumeration DateJuly 2, 2024
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1336985076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X
3510 N UNIVERSITY ST STE C, Peoria, IL 61604

Other Names 1

Doing Business AsAffinity Family Dental Peoria

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

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
3510 N UNIVERSITY ST STE C
PEORIA, IL 61604
Dentist (General Practice)
3510 N UNIVERSITY ST STE C
PEORIA, IL 61604

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 Peoria LLC's NPI number?

The NPI number for Affinity Dental Peoria LLC is 1336985076. It was assigned to this organization in the NPPES registry on July 2, 2024. The provider is doing business as Affinity Family Dental Peoria.

Where is Affinity Dental Peoria LLC located?

Affinity Dental Peoria LLC is located at 3510 N University St Ste C, Peoria, IL 61604. The listed phone number is (309) 271-7777.

What is Affinity Dental Peoria 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 Peoria LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Affinity Dental Peoria 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 Peoria LLC was last updated on November 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.