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RANDAL MARK KOWALSKE DMD
NPI 1669564290
Dentist in Peoria, IL

Active since September 29, 2006
3100 N DRIES LN, SUITE 301, PEORIA, IL 61604(309) 688-6646(309) 688-6645 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randal Mark Kowalske Dmd NPPES

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

RANDAL MARK KOWALSKE DMD (NPI 1669564290) is an individual dentist in Peoria, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1669564290
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRANDAL MARK KOWALSKECredential: DMD
Location Address3100 N DRIES LN, SUITE 301Peoria, IL 61604-1265
Mailing Address3100 N Dries Ln, Suite 301Peoria, IL 61604-1265 · (309) 688-6646 · Fax (309) 688-6645
Phone(309) 688-6646
Fax(309) 688-6645
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669564290 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.
3100 N DRIES LN, Peoria, IL 61604
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Other Providers at the Same Location NPPES 4

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

KEITH EDWARD KOWALSKE O.D.
Optometrist
3100 N DRIES LN, SUITE 101
PEORIA, IL 61604
Peoria County (309) 688-6644
NEUROPSYCHOLOGY CLINIC PC
Clinical Neuropsychologist
3100 N DRIES LN, STE 303
PEORIA, IL 61604
Peoria County (309) 686-9005
MINDOCK COUNSELING AND CONSULTING
Counselor (Professional)
3100 N DRIES LN, SUITE 302
PEORIA, IL 61604
Peoria County (309) 696-4697
SHANNA MARIE KURTH PHD
Clinical Neuropsychologist
3100 N DRIES LN, STE 303
PEORIA, IL 61604
Peoria County (309) 686-9005

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 Randal Kowalske's NPI number?

The NPI number for Randal Kowalske is 1669564290. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Randal Kowalske located?

Randal Kowalske practices at 3100 N Dries Ln Suite 301, Peoria, IL 61604. The listed phone number is (309) 688-6646.

What is Randal Kowalske'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 Randal Kowalske was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.