PEORIA DENTAL CARE
NPI 1851909345
Clinic/Center - Dental in Peoria, IL

Active since July 21, 2020
4517 N ROCKWOOD DR, PEORIA, IL 61615(309) 688-0121 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peoria Dental Care NPPES

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

PEORIA DENTAL CARE (NPI 1851909345) is a healthcare organization registered as a dental in Peoria, Illinois and active in the NPI registry since July 2020. The organization lists Robert Wynn, Dentist, as its authorized official.

NPPES Registry Identity

NPI1851909345
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEORIA DENTAL CARE
Location Address4517 N ROCKWOOD DRPeoria, IL 61615-3841
Mailing Address4517 N Rockwood DrPeoria, IL 61615-3841 · (309) 688-0121
Organization SubpartNo
Authorized OfficialRobert WynnDentist · (309) 688-0121
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
NPI 1851909345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4517 N ROCKWOOD DR, Peoria, IL 61615

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.

Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Dentist
4517 N ROCKWOOD DR
PEORIA, IL 61615
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Dentist
4517 N ROCKWOOD DR
PEORIA, IL 61615

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 Peoria Dental Care's NPI number?

The NPI number for Peoria Dental Care is 1851909345. It was assigned to this organization in the NPPES registry on July 21, 2020.

Where is Peoria Dental Care located?

Peoria Dental Care is located at 4517 N Rockwood Dr, Peoria, IL 61615. The listed phone number is (309) 688-0121.

What is Peoria Dental Care'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 Peoria Dental Care was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.