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CLOVE DENTAL PLLC
NPI 1588519904
Dentist in Peoria Heights, IL

Active since March 02, 2026
4207 N PROSPECT RD, PEORIA HEIGHTS, IL 61616(309) 323-8884(309) 324-3336 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clove Dental Pllc NPPES

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

CLOVE DENTAL PLLC (NPI 1588519904) is a healthcare organization registered as a dentist in Peoria Heights, Illinois and active in the NPI registry since March 2026. The organization lists Sandeep Thota, President, as its authorized official.

NPPES Registry Identity

NPI1588519904
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCLOVE DENTAL PLLC
Location Address4207 N PROSPECT RDPeoria Heights, IL 61616-7754
Mailing Address4207 N Prospect RdPeoria Heights, IL 61616-7754 · (309) 323-8884 · Fax (309) 324-3336
Phone(309) 323-8884
Fax(309) 324-3336
Organization SubpartNo
Authorized OfficialSandeep ThotaPresident · (314) 651-6550
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1588519904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
4207 N PROSPECT RD, Peoria Heights, IL 61616
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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

Other Providers at the Same Location NPPES

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

DR. JAMIE LYNN SMITH D.D.S., M.S.
Dentist (Pediatric Dentistry)
4207 N PROSPECT RD
PEORIA HEIGHTS, IL 61616
Peoria County (309) 685-4444

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 Clove Dental PLLC's NPI number?

The NPI number for Clove Dental PLLC is 1588519904. It was assigned to this organization in the NPPES registry on March 2, 2026.

Where is Clove Dental PLLC located?

Clove Dental PLLC is located at 4207 N Prospect Rd, Peoria Heights, IL 61616. The listed phone number is (309) 323-8884.

What is Clove Dental PLLC'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 Clove Dental PLLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.