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WILLIAM E. CUSACK, D.D.S., LTD.
NPI 1346060217
Dentist - Periodontics in Peoria, IL

Active since October 15, 2024
5013 N UNIVERSITY ST STE 2, PEORIA, IL 61614(309) 693-2220(309) 693-2272 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William E. Cusack, D.d.s., Ltd. NPPES

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

WILLIAM E. CUSACK, D.D.S., LTD. (NPI 1346060217) is a healthcare organization registered as a periodontics in Peoria, Illinois and active in the NPI registry since October 2024. The organization lists Kimberly Sue Cusack, President, as its authorized official.

NPPES Registry Identity

NPI1346060217
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWILLIAM E. CUSACK, D.D.S., LTD.
Location Address5013 N UNIVERSITY ST STE 2Peoria, IL 61614-4796
Mailing Address5013 N University St Ste 2Peoria, IL 61614-4796 · (309) 693-2220 · Fax (309) 693-2272
Phone(309) 693-2220
Fax(309) 693-2272
Organization SubpartNo
Authorized OfficialKimberly Sue CusackPresident · (309) 360-8592
Enumeration DateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1346060217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5013 N UNIVERSITY ST STE 2, Peoria, IL 61614
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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 William E. Cusack, D.D.S., Ltd.'s NPI number?

The NPI number for William E. Cusack, D.D.S., Ltd. is 1346060217. It was assigned to this organization in the NPPES registry on October 15, 2024.

Where is William E. Cusack, D.D.S., Ltd. located?

William E. Cusack, D.D.S., Ltd. is located at 5013 N University St Ste 2, Peoria, IL 61614. The listed phone number is (309) 693-2220.

What is William E. Cusack, D.D.S., Ltd.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for William E. Cusack, D.D.S., Ltd. was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.