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KENNETH D. MEISS D.M.D. LTD.
NPI 1790906139
Dentist - General Practice in Peoria, IL

Active since May 02, 2007
910 W GLEN AVE, PEORIA, IL 61614(309) 682-9802(309) 682-9809 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth D. Meiss D.m.d. Ltd. NPPES

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

KENNETH D. MEISS D.M.D. LTD. (NPI 1790906139) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since May 2007. The organization lists Kenneth Delaine Meiss, President, as its authorized official.

NPPES Registry Identity

NPI1790906139
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNETH D. MEISS D.M.D. LTD.
Location Address910 W GLEN AVEPeoria, IL 61614-4879
Mailing Address910 W Glen AvePeoria, IL 61614-4879 · (309) 682-9802 · Fax (309) 682-9809
Phone(309) 682-9802
Fax(309) 682-9809
Organization SubpartNo
Authorized OfficialKenneth Delaine MeissPresident · (309) 682-9802
Enumeration DateMay 2, 2007
Last NPPES UpdateFebruary 20, 2015
✔ NPI 1790906139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019-024524
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
910 W GLEN AVE, 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

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. KENNETH DELAINE MEISS D.M.D.
Dentist (General Practice)
910 W GLEN AVE
PEORIA, IL 61614
Peoria County (309) 682-9802

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 Kenneth D. Meiss D.M.D. Ltd.'s NPI number?

The NPI number for Kenneth D. Meiss D.M.D. Ltd. is 1790906139. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Kenneth D. Meiss D.M.D. Ltd. located?

Kenneth D. Meiss D.M.D. Ltd. is located at 910 W Glen Ave, Peoria, IL 61614. The listed phone number is (309) 682-9802.

What is Kenneth D. Meiss D.M.D. Ltd.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth D. Meiss D.M.D. Ltd. was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.