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MIKAYLIN WOODSIDE DMD
NPI 1902791445
Dentist in Peoria, IL

Active since June 12, 2025
4517 N ROCKWOOD DR, PEORIA, IL 61615(309) 688-0121 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikaylin Woodside Dmd NPPES

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

MIKAYLIN WOODSIDE DMD (NPI 1902791445) is an individual dentist in Peoria, Illinois, licensed in Illinois (019.036126) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1902791445
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMIKAYLIN WOODSIDECredential: DMD
Location Address4517 N ROCKWOOD DRPeoria, IL 61615-3841
Mailing Address4517 N Rockwood DrPeoria, IL 61615-3841 · (309) 688-0121
Phone(309) 688-0121
Sole ProprietorNo
Enumeration DateJune 12, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1902791445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.036126
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.
4517 N ROCKWOOD DR, Peoria, IL 61615
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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.

DR. ROBERT M. WYNN DMD
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-1021
ALEXANDER JAMES BOERCKEL D.M.D
Dentist
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
DR. MATTHEW LIESEN DMD
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
DR. MICAH A ROBERTS DMD
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 693-0043
PEORIA DENTAL CARE
Clinic/Center (Dental)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121

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 Mikaylin Woodside's NPI number?

The NPI number for Mikaylin Woodside is 1902791445. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Mikaylin Woodside located?

Mikaylin Woodside practices at 4517 N Rockwood Dr, Peoria, IL 61615. The listed phone number is (309) 688-0121.

What is Mikaylin Woodside'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 Mikaylin Woodside was last updated on June 12, 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.