1. Home
  2. Directory
  3. Illinois
  4. East Peoria
  5. Dentist
  6. NPI Profile

CENTRAL ILLINOIS CENTER FOR TMJ AND FACIAL PAIN, P.C.
NPI 1346546421
Dentist in East Peoria, IL

Active since February 07, 2011
731 SABRINA DR, SUITE A, EAST PEORIA, IL 61611(309) 699-1300 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Central Illinois Center For Tmj And Facial Pain, P.c. NPPES

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

CENTRAL ILLINOIS CENTER FOR TMJ AND FACIAL PAIN, P.C. (NPI 1346546421) is a healthcare organization registered as a dentist in East Peoria, Illinois and active in the NPI registry since February 2011. The organization lists Jack Glenn Walz, Provider, as its authorized official.

NPPES Registry Identity

NPI1346546421
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCENTRAL ILLINOIS CENTER FOR TMJ AND FACIAL PAIN, P.C.
Location Address731 SABRINA DR, SUITE AEast Peoria, IL 61611-3581
Mailing Address731 Sabrina Dr, Suite AEast Peoria, IL 61611-3581 · (309) 699-1300
Phone(309) 699-1300
Organization SubpartNo
Authorized OfficialJack Glenn WalzProvider · (309) 699-1300
Enumeration DateFebruary 7, 2011
Last NPPES UpdateSeptember 30, 2013
✔ NPI 1346546421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019021995
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.
731 SABRINA DR, East Peoria, IL 61611
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINU10110IL
Medicare PIN939740IL

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

Other Providers at the Same Location NPPES 6

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

RIVER CITY CHIROPRACTIC CENTER, LLC
Chiropractor
731 SABRINA DR, SUITE B
EAST PEORIA, IL 61611
Tazewell County (309) 699-7222
MARY KAY HUBER BS, CADC
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
DR. MICHAEL CHRISTOPHER WALZ D.C.
Chiropractor
731 SABRINA DR
EAST PEORIA, IL 61611
Tazewell County (309) 699-2422
FRED ACKER
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
DR. BRADLEY A DAVIS D.C.
Chiropractor
731 SABRINA DR, SUITE B
EAST PEORIA, IL 61611
Tazewell County (309) 699-7222
CENTRAL ILLINOIS CENTER FOR TMJ AND FACIAL PAIN PC
Dentist
731 SABRINA DR, SUITE A
EAST PEORIA, IL 61611
Tazewell County (309) 699-1300

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 Central Illinois Center For Tmj And Facial Pain, P.C.'s NPI number?

The NPI number for Central Illinois Center For Tmj And Facial Pain, P.C. is 1346546421. It was assigned to this organization in the NPPES registry on February 7, 2011.

Where is Central Illinois Center For Tmj And Facial Pain, P.C. located?

Central Illinois Center For Tmj And Facial Pain, P.C. is located at 731 Sabrina Dr Suite A, East Peoria, IL 61611. The listed phone number is (309) 699-1300.

What is Central Illinois Center For Tmj And Facial Pain, P.C.'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 Central Illinois Center For Tmj And Facial Pain, P.C. was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.