DENTSENSUS PEORIA, PLLC
NPI 1831085265
Clinic/Center - Dental in Peoria, IL

Active since June 13, 2025
1320 W NORTHMOOR RD STE A, PEORIA, IL 61614(414) 841-2881 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dentsensus Peoria, Pllc NPPES

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

DENTSENSUS PEORIA, PLLC (NPI 1831085265), doing business as Just Kidz Dentistry, is a healthcare organization registered as a dental in Peoria, Illinois and active in the NPI registry since June 2025. The organization lists Jack Kalloch, Owner, as its authorized official.

NPPES Registry Identity

NPI1831085265
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTSENSUS PEORIA, PLLC
Location Address1320 W NORTHMOOR RD STE APeoria, IL 61614-3425
Mailing Address1320 W Northmoor Rd Ste APeoria, IL 61614-3425 · (414) 841-2881
Organization SubpartNo
Authorized OfficialJack KallochOwner · (414) 841-2881
Enumeration DateJune 13, 2025
NPPES CertifiedJune 13, 2025
NPI 1831085265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1320 W NORTHMOOR RD STE A, Peoria, IL 61614

Other Names 1

Doing Business AsJust Kidz Dentistry

Other Providers at the Same Location NPPES 2

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

Dentist
1320 W NORTHMOOR RD STE A
PEORIA, IL 61614
Clinic/Center (Dental)
1320 W NORTHMOOR RD STE A
PEORIA, IL 61614

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 Dentsensus Peoria, PLLC's NPI number?

The NPI number for Dentsensus Peoria, PLLC is 1831085265. It was assigned to this organization in the NPPES registry on June 13, 2025. The provider is doing business as Just Kidz Dentistry.

Where is Dentsensus Peoria, PLLC located?

Dentsensus Peoria, PLLC is located at 1320 W Northmoor Rd Ste A, Peoria, IL 61614. The listed phone number is (414) 841-2881.

What is Dentsensus Peoria, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dentsensus Peoria, PLLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.