ALEXANDER JAMES BOERCKEL D.M.D
NPI 1538613880
Dentist in Peoria, IL

Q: What is Alexander Boerckel's NPI number?

The NPI number for Alexander Boerckel is 1538613880. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Q: What is Alexander Boerckel's specialty?

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

Active since August 03, 2016

4517 N ROCKWOOD DR, PEORIA, IL 61615(309) 688-0121(309) 688-5643 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2020, Mar 27, 2018 (2 updates tracked since 2018).

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About Alexander James Boerckel D.m.d NPPES

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

ALEXANDER JAMES BOERCKEL D.M.D (NPI 1538613880) is an individual dentist in Peoria, Illinois, licensed in Illinois (019.030868) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1538613880

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameALEXANDER JAMES BOERCKELCredential: D.M.D

Location Address4517 N ROCKWOOD DRPeoria, IL 61615-3841

Mailing Address4517 N Rockwood DrPeoria, IL 61615-3841 · (309) 688-0121 · Fax (309) 688-5643

Phone(309) 688-0121

Fax(309) 688-5643

Sole ProprietorNo

Enumeration DateAugust 3, 2016

Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1538613880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.030868

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.

4517 N ROCKWOOD DR, Peoria, IL 61615

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Other Identifiers 1

Other1851909345IL · Peoria Dental Care, Llc

Other Providers at the Same Location NPPES 5

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

DR. ROBERT M. WYNN DMD

Dentist (General Practice)